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Individual

CATHERINE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.T.C

Contact information

Practice address
17065 US-71, BELTON, MO 64012
(785) 331-9230
Mailing address
17065 US-71, BELTON, MO 64012

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013028775
MO
2255A2300X
Athletic Trainer
24-00885
KS

Other

Enumeration date
12/31/2015
Last updated
12/31/2015
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