IndividualActive
Alexander Smith, MAT, LAT, ATC
NPI 1023825072 · Athletic Trainer · Hanover, IN
Provider details
- NPI number
- 1023825072
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MAT, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT2206 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
517 Ball Dr
Hanover, IN 47243-9648
Phone: (224) 256-3025
Approximate (ZIP-level) locationGet directions
Mailing address
517 Ball Dr
Hanover, IN 47243-9648
Registry dates
- Enumerated
- 2024-12-13
- Last updated
- 2024-12-13
- Certified
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.