Smith, Charissa Bethe'L

Smith, Charissa Bethe'L is an sole proprietor health care provider with primary practice located at 1767 Blue Sky Dr , Idaho Falls ID 83402-4802. 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, Charissa Bethe'L can be contacted via phone (208) 525-7770.

Contact Information

Primary practice address
1767 Blue Sky Dr Idaho Falls ID 83402-4802
Phone: (208) 525-7770
Fax: (208) 525-7778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-386 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0506221 Nevada

Profile Details

NPI number 1467786319
LBN Legal business name Smith, Charissa Bethe'L
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2009
Last updated Oct 2nd, 2018 - about 6 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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