Individual
KATHRYN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSAT, ATC, OTC
Contact information
Practice address
1968 HAWKS LN NE, ATLANTA, GA 30329-2283
(254) 652-0500
Mailing address
1968 HAWKS LN NE, ATLANTA, GA 30329-2283
(254) 652-0500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000057122
TX
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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