Charissa Bethe'l Smith, ATC
NPI #1467786319 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1467786319
- Entity Type
- Individual
- Name
- Charissa Bethe'l Smith, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Sep 24, 2009
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 1767 BLUE SKY DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-4802
- Phone
- (208) 525-7770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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