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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