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

Kenneth Smoot, AT, ATC

Individual provider Athletic Trainer · NPI 1922814375

Kenneth Smoot, AT, ATC is an Athletic Trainer in South Lyon, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
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

51635 10 Mile Rd
South Lyon, MI 48178-9720
Phone: (248) 278-1072
Fax: (248) 278-1073
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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 2601001088 (MI)

Record details

NPI number1922814375
Entity typeIndividual (Type 1)
GenderMale
Credentials AT , ATC
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

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