Individual provider · Type 1 NPI

Corey Ryan Smith, ATC, PTA, CSCS

Specialist · Hudson, NY

NPI number 1073735775 Active

Practice location

71 Prospect Ave, Columbia Memorial Hospital
Hudson, NY 12534-2907

Call (518) 828-8206 Map

Mailing address

PO Box 509
Glasco, NY 12432-0509

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X67 001019 (NY)
Physical Therapy Assistant 225200000X66 006329 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073735775

Corey Ryan Smith, ATC, PTA, CSCS's National Provider Identifier is 1073735775, issued on May 3, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hudson, NY. The record was last updated on Sep 11, 2025.