Edward Smith, MT

NPI #1184263998 in Portsmouth, Virginia

Provider Information

NPI Number: 1184263998
Entity Type: Individual
Name: Edward Smith, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MT
Enumeration Date: Dec 26, 2019
Last Updated: Dec 26, 2019

Practice Location

Address: 4051 CEDAR LN
City: Portsmouth
State: Virginia
ZIP Code: 23703-2003
Phone: (757) 535-7234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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