Individual
TAYLOR RAYL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 N 8TH ST, TERRE HAUTE, IN 47807-1517
(317) 513-8505
Mailing address
1113 N 8TH ST, TERRE HAUTE, IN 47807-1517
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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