Individual
ZACHARY SMITHEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
643 PORTLAND ST, BALTIMORE, MD 21230-2248
(610) 721-8144
Mailing address
643 PORTLAND ST, BALTIMORE, MD 21230-2248
(610) 721-8144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00414
MD
2255A2300X
Athletic Trainer
J3-0000463
DE
2255A2300X
Athletic Trainer
RT005276
PA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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