Individual provider · Type 1 NPI

Kenneth Smoot, AT, ATC

Athletic Trainer · South Lyon, MI

NPI number 1922814375 Active

Practice location

51635 10 Mile Rd
South Lyon, MI 48178-9720

Fax (248) 278-1073

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X2601001088 (MI)

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 1922814375

Kenneth Smoot, AT, ATC's National Provider Identifier is 1922814375, issued on Dec 9, 2024. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in South Lyon, MI. The record was last updated on Aug 14, 2026.