Smith, Mark S

Smith, Mark S is an individual health care provider with primary practice located at 78 Kenrick Plz , Saint Louis MO 63119-4414. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Smith, Mark S can be contacted via phone (314) 962-8020.

Contact Information

Primary practice address
78 Kenrick Plz Saint Louis MO 63119-4414
Phone: (314) 962-8020
Fax: (314) 962-6570
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X MO 01472 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X MO 108986 Missouri

Profile Details

NPI number 1871517334
LBN Legal business name Smith, Mark S
Credentials P.T., A.T.,C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers