Healthcare Provider Details

I. General information

NPI: 1861338048
Provider Name (Legal Business Name): DESIREE LYNETTE SMITH ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 CHURCHILL RD
LESLIE MI
49251-9550
US

IV. Provider business mailing address

3770 CHURCHILL RD
LESLIE MI
49251-9550
US

V. Phone/Fax

Practice location:
  • Phone: 517-410-4850
  • Fax:
Mailing address:
  • Phone: 517-410-4850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: