Individual
MS. ALISON ELLAN SMART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
110 FIFTH STREET, SUITE 203, KETCHUM, ID 83340
(208) 720-1786
Mailing address
PO BOX 5551, KETCHUM, ID 83340-5551
(208) 578-0222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-045
ID
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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