Individual
MS. ADRIENNE E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8100 W 78TH ST, SUITE 225, EDINA, MN 55439-2516
(952) 946-9777
Mailing address
3335 NEWTON AVE N, MINNEAPOLIS, MN 55412-2309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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