Individual
KATRINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 INDIAN TRL, PIQUA, OH 45356-9257
(937) 773-6314
Mailing address
1 INDIAN TRL, PIQUA, OH 45356-9257
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1916
OH
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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