Brady M Smith
Specialist/Technologist, Athletic Trainer in Provo, UT. Individual provider (NPI-1).
NPI number1982128997
StatusActive
Last updated in NPPESAug 1, 2017
Details
- NPI
- 1982128997
- Entity type
- Individual (NPI-1)
- Name
- Brady M Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2017
- Last updated
- Aug 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 9749511-4810 | UT | Yes |
Practice location
Brigham Young University123 Sab
Provo, UT 84602
Phone 801-422-1549
Mailing address
Brigham Young University123 Sab
Provo, UT 84602
Phone 801-422-1549
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