Individual
DANELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
570 W RIVER DR W, STEVENS POINT, WI 54481-9068
(715) 630-0053
Mailing address
570 W RIVER DR W, STEVENS POINT, WI 54481-9068
(715) 630-0053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1398-39
WI
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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