Individual
JEFF SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1936 NORTH ST, SFA ATHLETICS, NACOGDOCHES, TX 75962-0001
(936) 468-3791
Mailing address
PO BOX 13010, SFA ATHLETICS, NACOGDOCHES, TX 75962-0001
(936) 468-3791
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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