Individual
SOPHIA REBECCA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
325 N KIRKWOOD RD, KIRKWOOD, MO 63122-4071
(314) 706-0137
Mailing address
325 N KIRKWOOD RD, KIRKWOOD, MO 63122-4071
(314) 706-0137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2023047009
MO
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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