Jeffrey Clinton Smith

NPI #1447723101 in Pueblo West, Colorado

Provider Information

NPI Number: 1447723101
Entity Type: Individual
Name: Jeffrey Clinton Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 5, 2019
Last Updated: Jan 5, 2019

Practice Location

Address: 254 W PALMER LAKE DR
City: Pueblo West
State: Colorado
ZIP Code: 81007-2877
Phone: (719) 287-1630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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