Smith, Kelly Therese

Smith, Kelly Therese is an individual health care provider with primary practice located at 344 S Maple Ave #2A , Oak Park IL 60302. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Smith, Kelly Therese can be contacted via phone (262) 424-7475.

Contact Information

Primary practice address
344 S Maple Ave #2A Oak Park IL 60302
Phone: (262) 424-7475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1588026975
LBN Legal business name Smith, Kelly Therese
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2016
Last updated Mar 24th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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