Individual
COREY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(847) 702-3292
Mailing address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002453A
IN
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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