Individual
JONATHAN MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
142 GREEN ST, HUDSON, NY 12534-2327
(518) 755-7759
Mailing address
142 GREEN ST, HUDSON, NY 12534-2327
(518) 755-7759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013939-1
NY
Other
Enumeration date
08/05/2008
Last updated
11/07/2024
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