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Individual

MATTHEW WAYNE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
872 OHIO PIKE, CINCINNATI, OH 45245-2204
(513) 947-9115
Mailing address
3868 MCMANN RD, CINCINNATI, OH 45245-2306
(513) 258-2343
(513) 718-3223

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003204
OH

Other

Enumeration date
05/18/2010
Last updated
07/13/2021
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