MRS. Shannon Renee Smith, PTA, ATC

NPI #1205365319 in Salem, Arkansas

Provider Information

NPI Number
1205365319
Entity Type
Individual
Name
MRS. Shannon Renee Smith, PTA, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
PTA, ATC
Enumeration Date
Jun 12, 2017
Last Updated
Jun 12, 2017

Practice Location

Address
679 N MAIN ST
City
Salem
ZIP Code
72576-9451
Phone
(870) 895-6006

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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