Provider Demographics
NPI:1538420880
Name:SMEDLEY, TODD
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:SMEDLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5045 N MAIN ST
Mailing Address - Street 2:SUITE 330
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-3698
Mailing Address - Country:US
Mailing Address - Phone:937-603-4494
Mailing Address - Fax:
Practice Address - Street 1:5045 N MAIN ST
Practice Address - Street 2:SUITE 330
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-3698
Practice Address - Country:US
Practice Address - Phone:937-603-4494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)