Provider Demographics
NPI:1881687234
Name:SMEENK, JASON REID (ATC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:REID
Last Name:SMEENK
Suffix:
Gender:M
Credentials:ATC
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Other - Credentials:
Mailing Address - Street 1:10 UPPER COLLEGE DR
Mailing Address - Street 2:ORVIS ACTIVITIES CENTER
Mailing Address - City:ALFRED
Mailing Address - State:NY
Mailing Address - Zip Code:14802-1137
Mailing Address - Country:US
Mailing Address - Phone:607-587-4359
Mailing Address - Fax:607-587-4331
Practice Address - Street 1:10 UPPER COLLEGE DR
Practice Address - Street 2:ORVIS ACTIVITIES CENTER
Practice Address - City:ALFRED
Practice Address - State:NY
Practice Address - Zip Code:14802-1137
Practice Address - Country:US
Practice Address - Phone:607-587-4359
Practice Address - Fax:607-587-4331
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer