Melissa Diane Smith, LMT

NPI #1841322245 in Starke, Florida

Provider Information

NPI Number: 1841322245
Entity Type: Individual
Name: Melissa Diane Smith, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 9551 NW CR 225
City: Starke
State: Florida
ZIP Code: 32091
Phone: (904) 964-8512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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