Brody W Smith
Brody W Smith is an Athletic Trainer in Revere, Missouri. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
22951 Highway CcRevere, MO 63465-1136
Phone: (660) 216-9328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1437864469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 13, 2023 |
| Last updated in NPPES | January 13, 2023 |
| Certification date | January 13, 2023 |
| Mailing address | 22951 Highway Cc, Revere, MO 63465-1136 |