Individual
KEYANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2 POND PARK RD STE 102, HINGHAM, MA 02043-4354
(781) 337-5555
Mailing address
175 CENTRE ST # 1622, QUINCY, MA 02169-8600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2017004335
MO
2255A2300X
Athletic Trainer
Primary
2440
MA
Other
Enumeration date
03/03/2018
Last updated
03/06/2021
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