Heather Diane Smith, LMT

NPI #1114246469 in Logan, Utah

Provider Information

NPI Number: 1114246469
Entity Type: Individual
Name: Heather Diane Smith, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 26, 2010
Last Updated: May 26, 2010

Practice Location

Address: 1692 E 1030 N
City: Logan
State: Utah
ZIP Code: 84341-3006
Phone: (435) 994-1669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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