NPI 1104195593

Racheal Marie Smith, ATCLAT

Practitioner Athletic Trainer Munster, IN

Practice location

Address: 1950 45th Ave, Munster, IN 46321-3927
Phone: (219) 924-7316
Mailing address: 425 W 93rd Pl APT 116, Crown Point, IN 46307-2291

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 36001883A (IN)

Other Specialist/Technologist providers in Indiana →

Registry record

NPI: 1104195593
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2011
Record last updated: 14 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.