Individual
MISS ASHLEY ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5635 CHARLES ST, RACINE, WI 53402-1819
(414) 881-5046
Mailing address
5635 CHARLES ST, RACINE, WI 53402-1819
(414) 881-5046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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