KENNETH SMOOT

SOUTH LYON, MI
NPI1922814375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001088)
Enumeration Date2024-12-09
Last Update Date2024-12-12
Business Address
KENNETH SMOOT AT, ATC
51635 10 MILE RD
SOUTH LYON, MI 48178-9720
Phone number: 248-278-1072
Mailing Address
KENNETH SMOOT AT, ATC
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number:
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