Individual
TODD CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
32 E MAIN ST, MARSHALLTOWN, IA 50158-4903
(641) 753-6636
(641) 753-1005
Mailing address
32 E MAIN ST, P O BOX 474, MARSHALLTOWN, IA 50158-4903
(641) 753-6636
(641) 753-1005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0469T
IA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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