Individual
MS. KATRINA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1712 COE RD SW, ALBUQUERQUE, NM 87105-7025
(505) 877-5858
Mailing address
1712 COE RD SW, ALBUQUERQUE, NM 87105-7025
(505) 877-5858
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6855
NM
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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