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

Kelly Marie Smith, ATC, LAT

Individual provider Athletic Trainer · NPI 1417788530

Kelly Marie Smith, ATC, LAT is an Athletic Trainer in Manlius, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

8201 E Seneca Tpke
Manlius, NY 13104-2103
Phone: (315) 692-1900
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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 003556 (NY)

Record details

NPI number1417788530
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 10, 2024
Last updated in NPPESAugust 10, 2024
Certification dateAugust 10, 2024

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