Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARISSA BETHE'L SMITH, ATC
Active Sole ProprietorCHARISSA BETHE'L SMITH, ATC is a Athletic Trainer healthcare provider located in IDAHO FALLS, Idaho. NPI 1467786319 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1467786319
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2009 (16.701948761576 yrs)
- Last Updated
- Oct 2, 2018
- Licenses
-
AT-386 (ID)0506221 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1767 BLUE SKY DRIDAHO FALLS, ID, 834024802Browse ID providers · Browse ZIP 83402
- Phone
- 2085257770
- Fax
- 2085257778
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| ROGER DAVIES | A.T.,C. | 1770612129 |
| MS. CHEREE IADEVAIA | MS, LAT, ATC | 1730440371 |
| DUSTIN JONES | — | 1972052546 |
| KATHERINE MARIAH BERGLUND | MAT, ATC, LAT | 1679069595 |
| KEATON D RODRIQUEZ | — | 1861975294 |
| REBECCA SUE WARNKE | ATC | 1003439761 |
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.