Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRODY W SMITH
Active Sole ProprietorBRODY W SMITH is a Athletic Trainer healthcare provider located in REVERE, Missouri. NPI 1437864469 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · REVERE, MO
Registration Details
- NPI Number
- 1437864469
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2023 (3.5612498517686 yrs)
- Last Updated
- Jan 13, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
22951 HIGHWAY CCREVERE, MO, 634651136Browse MO providers · Browse ZIP 63465
- Phone
- 6602169328
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.