Brandi Elena Smith, LMT

NPI #1548703739 in Starke, Florida

Provider Information

NPI Number: 1548703739
Entity Type: Individual
Name: Brandi Elena Smith, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 21, 2016
Last Updated: Nov 21, 2016

Practice Location

Address: 309 CHRISTIAN ST
City: Starke
State: Florida
ZIP Code: 32091-3129
Phone: (904) 769-8011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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