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

Dr. Matthew Charlew Smitley, DAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1588075121

Dr. Matthew Charlew Smitley, DAT, LAT, ATC is an Athletic Trainer in Moscow, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho and North Carolina.

Licensed in
ID, NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

875 Perimeter Dr # MS 2401
Moscow, ID 83844-7462
Phone: (208) 885-0349
Fax: (208) 885-5929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-642 (ID)
Athletic Trainer Taxonomy 2255A2300X · Licence LAT-2518 (NC)

Record details

NPI number1588075121
Entity typeIndividual (Type 1)
GenderMale
Credentials DAT , LAT , ATC
Sole proprietorYes
NPI enumeratedMay 16, 2014
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020

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