Brody W. Smith

Athletic Trainer · Revere, MO

Individual Active NPI

NPI number 1437864469

Practice location

22951 Highway CC
Revere, MO 63465-1136
Phone
(660) 216-9328

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NPI record

NPI
1437864469
Entity type
Individual (Type 1)
Enumeration date
January 13, 2023
Last updated
January 13, 2023
Certified
January 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

About Brody Smith

Brody W. Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 22951 Highway CC, Revere, MO 63465-1136. The NPI number 1437864469 was assigned on January 13, 2023 and the record was last updated on January 13, 2023.

Frequently asked questions

What is the NPI number of Brody W. Smith?

The NPI number is 1437864469.

What is the phone number of Brody Smith?

The phone number listed for the practice location is (660) 216-9328.

Where is Brody Smith located?

22951 Highway CC, Revere, MO 63465-1136.

What is the taxonomy code for Brody Smith?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.