Individual
JEREMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(866) 785-8537
Mailing address
29 S GREEN ST # B, EAST STROUDSBURG, PA 18301-2607
(484) 523-4316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RTO000519
PA
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
02/29/2024
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