National Provider Identifier
Matt Smith, LAT, ATC
Matt Smith, LAT, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Saint Bonaventure, NY and a listed phone number of (716) 375-2230.
Profile Overview
- NPI
- 1124481601
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- April 01, 2016
- Last Updated
- December 05, 2018
Practice Location
- 3261 W State RD
- Saint Bonaventure, NY 14778
Phone: (716) 375-2230
Mailing Address
- 1604 Wilhoit Ave
- Lewis Center, OH 43035-7933
Specialties
- Athletic Trainer (2255A2300X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1124481601
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Matt
- Credential
- LAT, ATC
- Mailing Street Address
- 1604 Wilhoit Ave
- Mailing City
- Lewis Center
- Mailing State
- OH
- Mailing ZIP Code
- 43035-7933
- Mailing Country
- US
- Practice Street Address
- 3261 W State RD
- Practice City
- Saint Bonaventure
- Practice State
- NY
- Practice ZIP Code
- 14778
- Practice Country
- US
- Practice Phone
- (716) 375-2230
- Enumeration Date
- April 01, 2016
- Last Updated
- December 05, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X), Student in an Organized Health Care Education/Training Program (390200000X)