ALISON ELLAN SMART

KETCHUM, ID
NPI1487672424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-045)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
Ms. ALISON ELLAN SMART MS, ATC
110 FIFTH STREET SUITE 203
KETCHUM, ID 83340
Phone number: 208-720-1786
Mailing Address
Ms. ALISON ELLAN SMART MS, ATC
PO BOX 5551
KETCHUM, ID 83340-5551
Phone number: 208-578-0222