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Individual

MRS. BONNIE LYNN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, PTA

Contact information

Practice address
1000 S. 12 AVE., YVCC SHERAR GYMNASIUM, YAKIMA, WA 98902-2521
(509) 574-6822
Mailing address
1107 W PEAR AVE, SELAH, WA 98942-1074
(509) 697-6439

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/14/2007
Last updated
09/11/2025
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