Faith Nicole Smith, PTA, LAT, ATC
NPI #1518367358 in Brandon, Mississippi
Provider Information
- NPI Number
- 1518367358
- Entity Type
- Individual
- Name
- Faith Nicole Smith, PTA, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- PTA, LAT, ATC
- Enumeration Date
- Aug 29, 2014
- Last Updated
- Aug 12, 2022
Practice Location
- Address
- 904 MUNICIPAL DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2973
- Phone
- (601) 724-7310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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