Alysse Michelle Smith
Individual provider Active NPI Athletic Trainer · Bostic, NC
NPI 1922543867 · NPPES record last updated Jan 2, 2017
Key facts
- NPI
- 1922543867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 37269184 (NC)
- Practice address
- 1490 Bostic Sunshine Hwy
Bostic, NC 28018-9527 - Phone
- (828) 748-9619
- NPI assigned
- Jan 2, 2017
- Sex
- Female
- 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 |
|---|---|---|---|
| 37269184 | NC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 37269184 | NC | Yes |
Addresses
Primary practice location
1490 Bostic Sunshine Hwy
Bostic, NC 28018-9527
Mailing address
1490 Bostic Sunshine Hwy
Bostic, NC 28018-9527
Phone (828) 748-9619
Other providers in Bostic, NC
- Erica Marie O'Shall
- Travis Watson Prevette
- Mona Amanda Ray
- Rutherford County Life Saving & First Aid Crew, Inc
- Shady Pines Assisted Living LLC
- Shelby Ann Whiteside
All providers in Bostic, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2017. 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.