Individual
BRADLEY R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
7400 BAY RD, UNIVERSITY CENTER, MI 48710-0001
(989) 964-2121
(989) 964-7389
Mailing address
7400 BAY RD, UNIVERSITY CENTER, MI 48710-0001
(517) 605-4524
(989) 964-7389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001899
MI
2255A2300X
Athletic Trainer
AT1219
KY
Other
Enumeration date
12/18/2015
Last updated
07/21/2021
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