Individual
WILLIAM RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
800 COLLEGE AVE, WEED, CA 96094-2806
(530) 938-5308
Mailing address
800 COLLEGE AVE, WEED, CA 96094-2806
(530) 938-5308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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