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Kathy Eileen Nesmith, ATC, LAT

Specialist/Technologist, Athletic Trainer in Fort Pierce, FL. Individual provider (NPI-1).

NPI number1558313445
StatusActive
Last updated in NPPESJul 11, 2007

Details

NPI
1558313445
Entity type
Individual (NPI-1)
Name
Kathy Eileen Nesmith
Credential
ATC, LAT
Sex
Female
Sole proprietor
Yes
Enumeration date
May 17, 2006
Last updated
Jul 11, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAL 1077FLYes

Practice location

2100 Nebraska Ave
Suite 209
Fort Pierce, FL 34950-4704

Phone 772-465-8411 · Fax 772-464-3365

Mailing address

1538 N Lawnwood Cir
Suite 1
Fort Pierce, FL 34950-6958

Phone 772-341-1289 · Fax 772-464-3365

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