Brenda G Smith, LMT

NPI #1487168142 in Eagle, Idaho

Provider Information

NPI Number
1487168142
Entity Type
Individual
Name
Brenda G Smith, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Nov 16, 2017
Last Updated
Nov 16, 2017

Practice Location

Address
1545 E IRON EAGLE DR STE 103
City
Eagle
State
Idaho
ZIP Code
83616-7079
Phone
(208) 649-4405

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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