Individual
AMANDA LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC/L
Contact information
Practice address
201 PENNSYLVANIA PKWY STE 100, INDIANAPOLIS, IN 46280-1393
(317) 817-1200
Mailing address
12474 COLD STREAM RD, NOBLESVILLE, IN 46060-4649
(317) 698-2503
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000919A
IN
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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