Individual
CRAIG ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
4623 S RACE ST, MARION, IN 46953-5335
(765) 506-7183
Mailing address
4623 S RACE ST, MARION, IN 46953-5335
(765) 506-7183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002255A
IN
Other
Enumeration date
06/07/2014
Last updated
06/07/2014
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