Individual
DOUGLAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1701 BLUE AVE, ZANESVILLE HIGH SCHOOL, ZANESVILLE, OH 43701
(740) 588-4012
Mailing address
185 EAGLES NEST RD, ZANESVILLE, OH 43701-8937
(740) 453-4603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0150
OH
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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