Individual provider · Type 1 NPI

Matthew Charlew Smitley, DAT, LAT, ATC

Athletic Trainer · Moscow, ID

NPI number 1588075121 Active

Practice location

875 Perimeter Dr # Ms 2401
Moscow, ID 83844-7462

Fax (208) 885-5929

Mailing address

320 Opal Brook Dr
Elizabethton, TN 37643-7462

Other practice locations

  • 320 Opal Brook Dr, Elizabethton, TN 37643-7462 · (805) 588-6929

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XLAT-2518 (NC)
Athletic Trainer Primary 2255A2300XAT-642 (ID)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1588075121

Matthew Charlew Smitley, DAT, LAT, ATC's National Provider Identifier is 1588075121, issued on May 16, 2014. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Moscow, ID. The record was last updated on Sep 2, 2020.