Individual
AARISA ELYSIANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LMT 15732
OR
172M00000X
Mechanotherapist
MA 60043874
WA
Other
Enumeration date
03/11/2011
Last updated
08/16/2021
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