Kenneth Smoot, AT, ATC
NPI #1922814375 in South Lyon, Michigan
Provider Information
- NPI Number
- 1922814375
- Entity Type
- Individual
- Name
- Kenneth Smoot, AT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- AT, ATC
- Enumeration Date
- Dec 9, 2024
- Last Updated
- Dec 12, 2024
Practice Location
- Address
- 51635 10 MILE RD
- City
- South Lyon
- State
- Michigan
- ZIP Code
- 48178-9720
- Phone
- (248) 278-1072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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