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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAITH NICOLE SMITH, PTA, LAT, ATC

Active Sole Proprietor

FAITH NICOLE SMITH, PTA, LAT, ATC is a Athletic Trainer healthcare provider located in BRANDON, Mississippi. NPI 1518367358 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BRANDON, MS

Registration Details

NPI Number
1518367358
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2014 (11.934240257472 yrs)
Last Updated
Aug 12, 2022
Licenses
PTA-7032 (MS)
AT0500 (MS)
Sole Proprietor
Yes

Practice Information

Address
904 MUNICIPAL DR
BRANDON, MS, 390422973
Browse MS providers · Browse ZIP 39042
Phone
6017247310
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in BRANDON, MS

Name Credential NPI
MR. BENJAMIN LONG ATC 1730411398
BLAKE HARRISON HINES ATC, NASM-PES, MA 1821486218
CHRISTOPHER CODY GARCIA 1790214450
RICKY LYNN CLARK 1639608136
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.