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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEATHER LYN-NIEBOER SMITH, ATC

Active Sole Proprietor

HEATHER LYN-NIEBOER SMITH, ATC is a Athletic Trainer healthcare provider located in JENISON, Michigan. NPI 1366637209 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · JENISON, MI

Registration Details

NPI Number
1366637209
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2007 (18.934788477202 yrs)
Last Updated
Apr 19, 2014
License
2601000712 (MI)
Sole Proprietor
Yes

Practice Information

Address
2140 BAUER RD
JENISON, MI, 494289539
Browse MI providers · Browse ZIP 49428
Phone
6164578454
Fax
6164578441
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in JENISON, MI

Name Credential NPI
ERIK BYL MS, AT, ATC 1104218726
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.