Individual
MR. CHRISTOPHER MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC
Contact information
Practice address
1740 RIDGEWAY RD, MEMPHIS, TN 38119-5314
(901) 605-9550
Mailing address
1740 RIDGEWAY RD, MEMPHIS, TN 38119-5314
(901) 605-9550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0000001016
TN
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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