Individual
STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, AT, ATC
Contact information
Practice address
155 MIAMI ST, TIFFIN, OH 44883-2161
(419) 448-3263
Mailing address
155 MIAMI ST, TIFFIN, OH 44883-2161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003493
OH
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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