Individual
MISS GRETCHEN LOUISE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS,LAT,ATC
Contact information
Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 390-5590
Mailing address
5432 KIM WAY, APT 4, INDIANAPOLIS, IN 46237-2597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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