Individual
MR. JOHN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, MSED, ATC LAT
Contact information
Practice address
10 E WASHINGTON ST, PAINESVILLE, OH 44077-3460
(440) 354-1942
Mailing address
10 E WASHINGTON ST, PAINESVILLE, OH 44077-3460
(440) 354-1942
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-001016
OH
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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