Individual provider · Type 1 NPI

Grant Smith

Student in an Organized Health Care Education/Training Program · Columbia, MO

NPI number 1124582457 Active

Practice location

1107 S Providence Rd
Columbia, MO 65211-0001

Call (407) 376-3135 Map

Mailing address

1828 Marigold Ct
Chanhassen, MN 55317-4545

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124582457

Grant Smith's National Provider Identifier is 1124582457, issued on Jan 31, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, MO. The record was last updated on Jan 31, 2019.