Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1720 S TAFT AVE APT 301, LOVELAND, CO 80537-7286
(630) 253-8846
Mailing address
1720 S TAFT AVE APT 301, LOVELAND, CO 80537-7286
(630) 253-8846
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001441
CO
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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