MR. Blake Alexander Smith, LAT, ATC, MS

NPI #1699362012 in Arkansas City, Kansas

Provider Information

NPI Number
1699362012
Entity Type
Individual
Name
MR. Blake Alexander Smith, LAT, ATC, MS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC, MS
Enumeration Date
Dec 31, 2020
Last Updated
Dec 31, 2020

Practice Location

Address
125 S 2ND ST
State
Kansas
ZIP Code
67005-2662
Phone
(620) 687-1680

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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