SHAD JEFFRY SMITH

ROYAL OAK, MI
NPI1619953973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2005-12-19
Last Update Date2008-07-20
Business Address
MR. SHAD JEFFRY SMITH ATC
1080 N CAMPBELL RD APT 4
ROYAL OAK, MI 48067-1533
Phone number: 941-527-7301
Mailing Address
MR. SHAD JEFFRY SMITH ATC
1080 N CAMPBELL RD APT. 4
ROYAL OAK, MI 48067-1533
Phone number: 941-527-7301