Jessie Smith, ATC

NPI 1730624511 · on the registry since 2017 · sole proprietor

Practice

Address: 1157 N 300 W Ste 201
Provo, UT 84604
Phone: (801) 357-1200
Organisation at this address: Ihc Health Services Inc
Ihc Health Services Inc
Provo Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 66

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-02-06

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 Utah