Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER JONATHON SMITH, LAT
Active Sole ProprietorTYLER JONATHON SMITH, LAT is a Athletic Trainer healthcare provider located in BOISE, Idaho. NPI 1770611261 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOISE, ID
Registration Details
- NPI Number
- 1770611261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2007 (19.430161119873 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT-261 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2409 N CRIBBENS AVEBOISE, ID, 837135239Browse ID providers · Browse ZIP 83713
- Phone
- 2084842047
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DAVE LYNN HAMMONS I | ATC | 1285607598 |
| MR. ERIC ANTHONY TAYLOR | ATC | 1013979046 |
| ASHLEE NOEL HARLOW | ATC | 1619912458 |
| JAMES FLOYD SPOONER | ATC | 1033154802 |
| JESSE GEORGE COPS | ATC, LAT | 1770528333 |
| MS. NICOLE LORRAINE CLARK | LAT, ATC | 1538196563 |
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.