IndividualActive
Blaze Smith, ATC
NPI 1962881011 · Athletic Trainer · Honolulu, HI
Provider details
- NPI number
- 1962881011
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1337 Lower Campus Rd
Honolulu, HI 96822-2352
Phone: (808) 956-7144
Approximate (ZIP-level) locationGet directions
Mailing address
1337 Lower Campus Rd
Honolulu, HI 96822-2352
Registry dates
- Enumerated
- 2015-05-21
- Last updated
- 2015-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.