Individual
SARA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 N UNIVERSITY DRIVE, ATTN: ATHLETIC TRAINING ROOM, EDMOND, OK 73034
(405) 974-2188
Mailing address
700 NE 122ND ST APT 4206, OKLAHOMA CITY, OK 73114-8162
(806) 884-9913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OK
Other
Enumeration date
04/12/2018
Last updated
08/05/2019
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