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

MR. BLAKE ALEXANDER SMITH, LAT, ATC, MS

Active Sole Proprietor

MR. BLAKE ALEXANDER SMITH, LAT, ATC, MS is a Athletic Trainer healthcare provider located in ARKANSAS CITY, Kansas. NPI 1699362012 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ARKANSAS CITY, KS

Registration Details

NPI Number
1699362012
Provider Type
Individual
Gender
Male
NPI Issued
Dec 31, 2020 (5.579027420678 yrs)
Last Updated
Dec 31, 2020
License
24-01112 (KS)
Sole Proprietor
Yes

Practice Information

Address
125 S 2ND ST
ARKANSAS CITY, KS, 670052662
Browse KS providers · Browse ZIP 67005
Phone
6206871680
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ARKANSAS CITY, KS

Name Credential NPI
MRS. AMY LYNNE BURTON ATC 1104873397
MR. JEFF MICHAEL FLUTY ATC, LAT 1285046391
AINSLEY GRACE CARSON STUDENT 1073252656
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.