Individual
MRS. HEIDI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
9375 COUNTY ROAD 11 NE, ALEXANDRIA, MN 56308-8050
(218) 368-7792
Mailing address
6767 INDIAN LAKE RD NW, GARFIELD, MN 56332-8403
(218) 368-7792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
01/20/2025
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