Individual
MRS. BROOKE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC, LAT
Contact information
Practice address
1201 N 175TH ST, SHORELINE, WA 98133-5064
(206) 401-3128
(206) 401-3201
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
(206) 720-8462
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A161327313
WA
363A00000X
Physician Assistant
Primary
PA61363785
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/14/2014
Last updated
08/04/2025
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