Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather Lyn-Nieboer Smith, ATC

Individual provider Athletic Trainer · NPI 1366637209

Heather Lyn-Nieboer Smith, ATC is an Athletic Trainer in Jenison, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2140 Bauer Rd
Jenison, MI 49428-9539
Phone: (616) 457-8454
Fax: (616) 457-8441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601000712 (MI)

Record details

NPI number1366637209
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedSeptember 13, 2007
Last updated in NPPESApril 19, 2014

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