IndividualActive
Blake Smith, LAT, ATC, MS
NPI 1699362012 · Athletic Trainer · Arkansas City, KS
Provider details
- NPI number
- 1699362012
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC, MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 24-01112 (KS)
Mailing address
125 S 2nd St
Arkansas City, KS 67005-2662
Registry dates
- Enumerated
- 2020-12-31
- Last updated
- 2020-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.