IndividualActive
Abigail Smith, LAT
NPI 1386038974 · Athletic Trainer · Kenosha, WI
Provider details
- NPI number
- 1386038974
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT
- Sex
- Female
- Sole proprietor
- No
- License
- 1558 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-7000
Approximate (ZIP-level) locationGet directions
Mailing address
10400 75th St
Kenosha, WI 53142-7884
Registry dates
- Enumerated
- 2015-03-23
- Last updated
- 2015-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.