Individual
KELSEY MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5 N MAIN ST, ENGLEWOOD, OH 45322-1326
(937) 890-8660
Mailing address
209 BROOKWOOD DR, ENGLEWOOD, OH 45322-2461
(937) 972-3062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.024250
OH
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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