Individual
CARRIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
11550 SCAGGSVILLE RD, FULTON, MD 20759-2206
(315) 720-4327
Mailing address
11550 SCAGGSVILLE RD, FULTON, MD 20759-2206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000412
MD
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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