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

Mr. Shad Jeffry Smith, ATC

Individual provider Athletic Trainer · NPI 1619953973

Mr. Shad Jeffry Smith, ATC is an Athletic Trainer in Royal Oak, Michigan. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1080 N Campbell Rd Apt 4
Royal Oak, MI 48067-1533
Phone: (941) 527-7301
Fax: (313) 577-1012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1619953973
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 19, 2005
Last updated in NPPESJuly 20, 2008
Mailing address1080 N Campbell Rd, Apt. 4, Royal Oak, MI 48067-1533

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