Anna Smith, MS, AT
Specialist/Technologist, Athletic Trainer in Rock Island, IL. Individual provider (NPI-1).
NPI number1164061545
StatusActive
Last updated in NPPESJan 2, 2020
Details
- NPI
- 1164061545
- Entity type
- Individual (NPI-1)
- Name
- Anna Smith
- Credential
- MS, AT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 2, 2020
- Certification date
- Jan 2, 2020
- Last updated
- Jan 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096002537 | IL | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT002785 | OH |
Practice location
639 38th StRock Island, IL 61201-2210
Phone 309-794-8794
Mailing address
1100 Coventry CirLancaster, OH 43130-4173
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All 8 Athletic Trainer providers in Rock Island · All 976 providers in Rock Island
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