Individual
SARAH CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 E RANDALL ST, SHAWANO, WI 54166-2616
(715) 304-6446
Mailing address
912 E RANDALL ST, SHAWANO, WI 54166-2616
(715) 304-6446
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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