Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW CHARLEW SMITLEY, DAT, LAT, ATC
Active Sole ProprietorDR. MATTHEW CHARLEW SMITLEY, DAT, LAT, ATC is a Athletic Trainer healthcare provider located in MOSCOW, Idaho. NPI 1588075121 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MOSCOW, ID
Registration Details
- NPI Number
- 1588075121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2014 (12.257050430939 yrs)
- Last Updated
- Sep 2, 2020
- Licenses
-
LAT-2518 (NC)AT-642 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
875 PERIMETER DR # MS 2401MOSCOW, ID, 838447462Browse ID providers · Browse ZIP 83844
- Phone
- 2088850349
- Fax
- 2088855929
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| BARRIE EUGENE STEELE | MS, LAT, ATC | 1497727960 |
| MR. RYAN TOBIAS VAN AMERONGEN | MA, ATC, LAT | 1821024233 |
| MISS JACQUELINE M WILLIAMS | MS, LAT, ATC | 1992717805 |
| MR. NICHOLAS L REFVEM | ATC | 1366558579 |
| DEBBY CARSCALLEN | ATC | 1245332790 |
| PROF. RICKY KAREN LEWIS | ATC-R | 1225165939 |
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.