Individual
MR. MICHAEL EDWARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
584 COUNTY LINE RD W, WESTERVILLE, OH 43082-7245
(614) 355-6057
(614) 355-6072
Mailing address
584 COUNTY LINE RD W, WESTERVILLE, OH 43082-7245
(614) 355-6057
(614) 355-6072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001601
OH
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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