Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAD JEFFRY SMITH, ATC
ActiveMR. SHAD JEFFRY SMITH, ATC is a Athletic Trainer healthcare provider located in ROYAL OAK, Michigan. NPI 1619953973 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROYAL OAK, MI
Registration Details
- NPI Number
- 1619953973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2005 (20.620877425593 yrs)
- Last Updated
- Jul 20, 2008
Practice Information
- Address
-
1080 N CAMPBELL RDAPT 4ROYAL OAK, MI, 480671533Browse MI providers · Browse ZIP 48067
- Phone
- 9415277301
- Fax
- 3135771012
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ROYAL OAK, MI
| Name | Credential | NPI |
|---|---|---|
| MICHAEL ALFONSI | MS, LAT, ATC | 1427553296 |
| MRS. JILLIAN ANNETTE PITT | AT, ATC | 1073009312 |
| CHRISTINE CHARITY CENTER | RT (R) (CT) | 1427536234 |
| EMILY JEAN LOBSINGER | — | 1285380717 |
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.