Individual
BRANDI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 S 15TH ST, GOSHEN, IN 46526-4433
(574) 538-1860
Mailing address
1107 S 15TH ST, GOSHEN, IN 46526-4433
(574) 538-1860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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