Ian Michael Smith
Ian Michael Smith is an Athletic Trainer in Lake St Louis, Missouri. Works from 2 locations. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2020
Practice location Address checks out
2275 Sommers RdLake St Louis, MO 63367-6406
Phone: (636) 561-0075
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6309 Ronald Reagan Dr, Lake St Louis, MO 63367-2681 — (636) 755-4566
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2017022695 (MO) |
|---|
Record details
| NPI number | 1922630607 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 10, 2020 |
| Last updated in NPPES | February 10, 2020 |
| Certification date | February 10, 2020 |