Kenneth W Smith, LMT

NPI #1942504758 in Holly Hill, Florida

Provider Information

NPI Number: 1942504758
Entity Type: Individual
Name: Kenneth W Smith, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 8, 2011
Last Updated: Feb 28, 2013

Practice Location

Address: 240 RIDGEWOOD AVE
City: Holly Hill
State: Florida
ZIP Code: 32117-4944
Phone: (386) 492-2958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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