Joshua William Smith, LAT, ATC
Individual provider Active NPI Athletic Trainer · Millville, PA
NPI 1467926451 · NPPES record last updated Jan 14, 2019
Key facts
- NPI
- 1467926451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT007212 (PA)
- Practice address
- 345 School House Lane
Millville, PA 17846 - Phone
- (570) 458-5538
- NPI assigned
- Jan 14, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT007212 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT007212 | PA | Yes |
Addresses
Primary practice location
345 School House Lane
Millville, PA 17846
Mailing address
16 Woodbine LN
Danville, PA 17821-8029
Phone (800) 275-6401
Other practice location 1
16 Woodbine Ln
Danville, PA 17821-8029
Phone (800) 275-6401
Other providers in Millville, PA
- Millville Leasing Partnership
- Brigid Flynn Pugh
- Reliant Millville Holdings LLC
- Kelly Sabaluski
- Constance A Scheunemann
- Stephanie Parker Sponenberg
All providers in Millville, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.