DANE SMITH

PROVO, UT
NPI1467992560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: UT  9833778-4810)
Enumeration Date2017-03-08
Last Update Date2017-03-08
Business Address
DANE SMITH ATC
1157 N 300 W #201
PROVO, UT 84604-6124
Phone number: 801-357-1200
Mailing Address
DANE SMITH ATC
125 N MILL RD UNIT I407
VINEYARD, UT 84058-5601
Phone number: 385-225-6260
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