National Provider Identifier

Jason Reid Smeenk, ATC

Jason Reid Smeenk, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Alfred, NY and a listed phone number of (607) 587-4359.

NPI 1881687234Alfred, NYAthletic Trainer

Profile Overview

NPI
1881687234
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
August 31, 2005
Last Updated
July 08, 2007

Practice Location

  • 10 Upper College Dr
  • Orvis Activities Center
  • Alfred, NY 14802-1137

Phone: (607) 587-4359

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1881687234
Entity Type
Individual
Last Name
Smeenk
First Name
Jason
Middle Name
Reid
Credential
ATC
Mailing Street Address
10 Upper College Dr
Mailing Address Line 2
Orvis Activities Center
Mailing City
Alfred
Mailing State
NY
Mailing ZIP Code
14802-1137
Mailing Country
US
Mailing Phone
(607) 587-4359
Mailing Fax
(607) 587-4331
Practice Street Address
10 Upper College Dr
Practice Address Line 2
Orvis Activities Center
Practice City
Alfred
Practice State
NY
Practice ZIP Code
14802-1137
Practice Country
US
Practice Phone
(607) 587-4359
Practice Fax
(607) 587-4331
Enumeration Date
August 31, 2005
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)