Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cornell Smith

Individual provider Athletic Trainer · NPI 1306243563

Cornell Smith is an Athletic Trainer in Waukesha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2014

Practice location Address checks out

2103 Summit Ave
Waukesha, WI 53188-3106
Phone: (414) 828-0470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 567-39 (WI)

Record details

NPI number1306243563
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2014
Last updated in NPPESDecember 3, 2014

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