Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH SMOOT, AT, ATC
Active Sole ProprietorKENNETH SMOOT, AT, ATC is a Athletic Trainer healthcare provider located in SOUTH LYON, Michigan. NPI 1922814375 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTH LYON, MI
Registration Details
- NPI Number
- 1922814375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2024 (1.639536947115 yrs)
- Last Updated
- Dec 12, 2024
- License
-
2601001088 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
51635 10 MILE RDSOUTH LYON, MI, 481789720Browse MI providers · Browse ZIP 48178
- Phone
- 2482781072
- Fax
- 2482781073
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SOUTH LYON, MI
| Name | Credential | NPI |
|---|---|---|
| MELISSA ANDERSON | ATC | 1538445796 |
| TAYLOR JAMES CUTAJAR | — | 1558720771 |
| HANNAH LYNN LAHO | — | 1780555755 |
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.