Individual
ALTA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 N MAIN ST, GREENWOOD, AR 72936-7007
(479) 996-4142
(479) 996-4143
Mailing address
685 WOODLAND TRL, GREENWOOD, AR 72936-5708
(479) 883-7571
(479) 996-4143
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT314
AR
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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