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KENNETH SMOOT AT, ATC
NPI 1922814375
Specialist/Technologist - Athletic Trainer in South Lyon, MI

Active since December 09, 2024
51635 10 MILE RD, SOUTH LYON, MI 48178(248) 278-1072(248) 278-1073 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Smoot At, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH SMOOT AT, ATC (NPI 1922814375) is an individual athletic trainer provider in South Lyon, Michigan, licensed in Michigan (2601001088) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1922814375
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameKENNETH SMOOTCredential: AT, ATC
Location Address51635 10 MILE RDSouth Lyon, MI 48178-9720
Mailing Address33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258
Phone(248) 278-1072
Fax(248) 278-1073
Sole ProprietorYes
Enumeration DateDecember 9, 2024
Last NPPES UpdateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1922814375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MI · 2601001088
Definition
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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
51635 10 MILE RD, South Lyon, MI 48178
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARISMA PATEL DPT
Physical Therapist
51635 10 MILE RD
SOUTH LYON, MI 48178
Oakland County (248) 278-1072
KYLE SULLIVAN DPT
Physical Therapist
51635 10 MILE RD
SOUTH LYON, MI 48178
Oakland County (248) 278-1072
CASEY SHORTT PTA
Physical Therapy Assistant
51635 10 MILE RD
SOUTH LYON, MI 48178
Oakland County (248) 278-1072
JOHN GREGORY POOLE PT
Physical Therapist
51635 10 MILE RD
SOUTH LYON, MI 48178
Oakland County (248) 278-1072
JESSICA PEPPER DPT
Physical Therapist
51635 10 MILE RD
SOUTH LYON, MI 48178
Oakland County (248) 278-1072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Smoot's NPI number?

The NPI number for Kenneth Smoot is 1922814375. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Kenneth Smoot located?

Kenneth Smoot practices at 51635 10 Mile Rd, South Lyon, MI 48178. The listed phone number is (248) 278-1072.

What is Kenneth Smoot's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kenneth Smoot was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.