Individual provider · Type 1 NPI

Wade Raymond Smith, ATC/L

Specialist · Lake City, FL

NPI number 1326011883 Active

Practice location

4367 NW American Ln
Lake City, FL 32055-4828

Call (386) 758-1841 Map

Mailing address

560 NW Gwen Lake Ave
Lake City, FL 32055-3216

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAL 1072 (FL)

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.

7 other providers at this address

Other specialist providers in Lake City

See all in Lake City →

About NPI 1326011883

Wade Raymond Smith, ATC/L's National Provider Identifier is 1326011883, issued on Feb 7, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake City, FL. The record was last updated on Jul 13, 2026.