Individual
JEFFREY FRANK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2074 ANTILLEY RD, ABILENE, TX 79606-5209
(325) 698-3865
(325) 793-1295
Mailing address
3957 PURDUE LN, ABILENE, TX 79602-8408
(325) 795-2918
(325) 793-1295
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1401
TX
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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