NPI 1073436200

Jason Matthew Smith, MSATCLAT

Practitioner Athletic Trainer Provo, UT

Practice location

Address: 1130 Smith Fieldhouse, Provo, UT 84602-2246
Phone: (801) 422-2946
Mailing address: 688 W 800 N, Provo, UT 84601-1517

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT2562 (TX)

Other Specialist/Technologist providers in Utah →

Registry record

NPI: 1073436200
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2026
Record last updated: 3 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.