Blake Alexander Smith, LAT, ATC, MS
Specialist/Technologist, Athletic Trainer in Arkansas City, KS. Individual provider (NPI-1).
NPI number1699362012
StatusActive
Last updated in NPPESDec 31, 2020
Details
- NPI
- 1699362012
- Entity type
- Individual (NPI-1)
- Name
- Mr. Blake Alexander Smith
- Credential
- LAT, ATC, MS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 31, 2020
- Certification date
- Dec 31, 2020
- Last updated
- Dec 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 24-01112 | KS | Yes |
Practice location
125 S 2nd StArkansas City, KS 67005-2662
Phone 620-687-1680
Mailing address
125 S 2nd StArkansas City, KS 67005-2662
Phone 620-687-1680
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Arkansas City, KS
- Colby Charles AkinsNPI 1710727714
- Amy Lynne Burton, ATCNPI 1104873397
- Ainsley Grace Carson, STUDENTNPI 1073252656
- Jeff Michael Fluty, ATC, LATNPI 1285046391
All 5 Athletic Trainer providers in Arkansas City · All 163 providers in Arkansas City
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.