Individual
MOLLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7401 BALSON AVE, UNIVERSITY CITY, MO 63130-2911
(217) 714-4515
Mailing address
7401 BALSON AVE, UNIVERSITY CITY, MO 63130-2911
(217) 714-4515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009020488
MO
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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