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

Tyler Jonathon Smith, LAT

Individual provider Athletic Trainer · NPI 1770611261

Tyler Jonathon Smith, LAT is an Athletic Trainer in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

2409 N Cribbens Ave
Boise, ID 83713-5239
Phone: (208) 484-2047
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT-261 (ID)

Record details

NPI number1770611261
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Boise