Shelby Lynn Smith, LAT, ATC
Specialist/Technologist, Athletic Trainer in La Plata, MD. Individual provider (NPI-1).
NPI number1184164782
StatusActive
Last updated in NPPESMar 1, 2017
Details
- NPI
- 1184164782
- Entity type
- Individual (NPI-1)
- Name
- Shelby Lynn Smith
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2017
- Last updated
- Mar 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | A00910 | MD | Yes |
Practice location
6035 Radio Station RdLa Plata, MD 20646-3369
Phone 301-848-3199
Mailing address
7400 Brentland RdWelcome, MD 20693-3407
Phone 301-848-3199
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