Derek Gene Smith JR., LMT

NPI #1053726323 in Missoula, Montana

Provider Information

NPI Number: 1053726323
Entity Type: Individual
Name: Derek Gene Smith JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 25, 2014
Last Updated: Jun 25, 2014

Practice Location

Address: 2801 GREAT NORTHERN LOOP
City: Missoula
State: Montana
ZIP Code: 59808-1745
Phone: (406) 549-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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