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Individual

KATHY EILEEN NESMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
2100 NEBRASKA AVE, SUITE 209, FORT PIERCE, FL 34950-4704
(772) 465-8411
(772) 464-3365
Mailing address
1538 N LAWNWOOD CIR, SUITE 1, FORT PIERCE, FL 34950-6958
(772) 341-1289
(772) 464-3365

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1077
FL

Other

Enumeration date
05/17/2006
Last updated
07/11/2007
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