Individual
RANDI SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
2200 N SQUIRREL RD, ATHLETICS CENTER, ROCHESTER, MI 48309-4402
(248) 370-3132
(248) 370-4255
Mailing address
2200 N SQUIRREL RD, ATHLETICS CENTER, ROCHESTER, MI 48309-4402
(248) 370-3132
(248) 370-4255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001501
MI
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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