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

Koby Dale Smith, AT

Individual provider Athletic Trainer · NPI 1184942500

Koby Dale Smith, AT is an Athletic Trainer in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
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Practice location Address checks out

6475 S Yale Ave Ste 301
Tulsa, OK 74136-7815
Phone: (918) 494-9300
Fax: (918) 494-9624
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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 580 (OK)

Record details

NPI number1184942500
Entity typeIndividual (Type 1)
GenderMale
Credentials AT
Sole proprietorNo
NPI enumeratedMay 10, 2010
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020
Mailing address2488 E 81st St Ste 290, Tulsa, OK 74137-4265

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