Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Renee Smith, PTA, ATC

Individual provider Athletic Trainer · NPI 1205365319

Mrs. Shannon Renee Smith, PTA, ATC is an Athletic Trainer in Salem, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

679 N Main St
Salem, AR 72576-9451
Phone: (870) 895-6006
Fax: (870) 895-2626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT312 (AR)

Record details

NPI number1205365319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , ATC
Sole proprietorYes
NPI enumeratedJune 12, 2017
Last updated in NPPESJune 12, 2017