IndividualActive
Charles Smith
NPI 1780246280 · Athletic Trainer · Fayetteville, AR
Provider details
- NPI number
- 1780246280
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
1100 N College Ave
Fayetteville, AR 72703-1944
Phone: (479) 879-5941
Mailing address
850 S Silverado Dr Apt 103
Fayetteville, AR 72701-7851
Registry dates
- Enumerated
- 2019-07-03
- Last updated
- 2019-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.