Individual
RYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-2800
Mailing address
138 SERFASS RD, STROUDSBURG, PA 18360-9849
(443) 783-6881
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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