Individual
SUSAN SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2904 LEMMONTREE LN, PLANO, TX 75074-4756
(972) 768-1788
Mailing address
2904 LEMMONTREE LN, PLANO, TX 75074-4756
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1649
TX
Other
Enumeration date
06/28/2017
Last updated
03/07/2018
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