Individual
ELIZABETH DAWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4418 S 170TH ST, SEATAC, WA 98188-3252
(206) 661-6053
Mailing address
4418 S 170TH ST, SEATAC, WA 98188-3252
(206) 661-6053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60217697
WA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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