Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNA NICOLE SMITH, LAT, ATC
Active Sole ProprietorJENNA NICOLE SMITH, LAT, ATC is a Sports Medicine (PM&R) healthcare provider located in BAYTOWN, Texas. NPI 1477142941 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BAYTOWN, TX
Registration Details
- NPI Number
- 1477142941
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2021 (5.5992944396208 yrs)
- Last Updated
- Sep 24, 2024
- Licenses
-
2020022274 (MO)AT8636 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4401 GARTH RDBAYTOWN, TX, 775212122Browse TX providers · Browse ZIP 77521
- Phone
- 2814208600
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
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.