WALTER K SMITH

BLOOMINGTON, IN
NPI1417945122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN  36000057A)
Enumeration Date2005-10-07
Last Update Date2012-01-25
Business Address
MR. WALTER K SMITH MED, LAT, ATC
1001 E 17TH ST ASSEMBLY HALL
BLOOMINGTON, IN 47408-1590
Phone number: 812-855-3621
Mailing Address
MR. WALTER K SMITH MED, LAT, ATC
6416 E COX DR
BLOOMINGTON, IN 47408-9517
Phone number: 812-336-2661
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