Individual
ANNA CAMILLE SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
W9833 SKANDINAVA LN, ELROY, WI 53929-9635
(608) 462-4010
(608) 462-4010
Mailing address
W9833 SKANDINAVA LN, ELROY, WI 53929-9635
(608) 462-4010
(608) 462-4010
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
202879691
WI
225700000X
Massage Therapist
Primary
1724-146
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202879691
TAX ID
WI
Enumeration date
07/30/2008
Last updated
10/12/2016
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