Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Blake Alexander Smith, LAT, ATC, MS

Individual provider Athletic Trainer · NPI 1699362012

Mr. Blake Alexander Smith, LAT, ATC, MS is an Athletic Trainer in Arkansas City, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2020
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

125 S 2nd St
Arkansas City, KS 67005-2662
Phone: (620) 687-1680
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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 24-01112 (KS)

Record details

NPI number1699362012
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC , MS
Sole proprietorYes
NPI enumeratedDecember 31, 2020
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

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