Individual
KAILY LYNNE JANETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1601 STATE AVE NE, OLYMPIA, WA 98506-4554
(360) 786-8841
Mailing address
1802 AMHURST ST SE, OLYMPIA, WA 98501-3223
(360) 870-2644
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60118954
WA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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