Individual
MR. BLAKE ALEXANDER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, MS
Contact information
Practice address
125 S 2ND ST, ARKANSAS CITY, KS 67005-2662
(620) 687-1680
Mailing address
125 S 2ND ST, ARKANSAS CITY, KS 67005-2662
(620) 687-1680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01112
KS
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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