Individual
TAMMIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 OHIO AVE, RAINELLE, WV 25962-1568
(304) 651-7966
Mailing address
3524 FLAT MOUNTAIN RD, ALDERSON, WV 24910-1226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2017-3509
WV
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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