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JENNIFER J. SMITH M.S., A.T.,C.

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1952387565

Individual Registrant:
 JENNIFER J. SMITH M.S., A.T.,C.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
512 E STEPHENS ST MIDWAY COLLEGE MIDWAY, KY 40347-1112 US
Tel: 859-846-5806  Fax: --

Contact information for business:
159 BERKSHIRE LN  GEORGETOWN, KY 40324-8818 US
Tel: 574-527-8667  Fax: --

Registration Information:
NPI: 1952387565
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
KYAT601

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS KY - Page 1



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