Search › Idaho › 2255A2300X
Charissa Smith, ATC
NPI 1467786319 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1767 Blue Sky Dr
Idaho Falls, ID 83402 - Phone
- (208) 525-7770
- Fax
- (208) 525-7778
Additional practice sites
- 98 Poplar St, Blackfoot, ID
- 1331 E Plumb Ln, Reno, NV
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- ID, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho