SearchMichigan2255A2300X

Kenneth Smoot, AT, ATC

NPI 1922814375 · on the registry since 2024 · sole proprietor

Practice

Address
51635 10 Mile Rd
South Lyon, MI 48178
Phone
(248) 278-1072
Fax
(248) 278-1073
Clinicians at this address
7

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-14

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 Michigan