Individual
ANNE M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2026 SW MCALLISTER LN, PORT SAINT LUCIE, FL 34953-2065
(772) 204-2332
Mailing address
2026 SW MCALLISTER LN, PORT SAINT LUCIE, FL 34953-2065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61583
FLORIDA STATE BOARD OF MASSAGE
FL
Enumeration date
03/03/2012
Last updated
03/03/2012
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