Individual
SARAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
807 NAVAJO TRL, MC GREGOR, TX 76657-1070
(904) 316-9723
Mailing address
807 NAVAJO TRL, MC GREGOR, TX 76657-1070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003326A
IN
2255A2300X
Athletic Trainer
AT7169
TX
Other
Enumeration date
09/19/2019
Last updated
07/13/2020
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