Matthew Smitley, DAT, LAT, ATC

NPI 1588075121 · on the registry since 2014 · sole proprietor

Practice

Address: 875 Perimeter Dr # Ms 2401
Moscow, ID 83844
Phone: (208) 885-0349
Fax: (208) 885-5929
Clinicians at this address: 23

Additional practice sites

320 Opal Brook Dr, Elizabethton, TN

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Also registered as: Athletic Trainer
Licence states on file: NC, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho