Individual
JILLIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
820 MAIN ST, WESTBROOK, ME 04092-3430
(207) 491-5757
Mailing address
820 MAIN ST, WESTBROOK, ME 04092-3430
(207) 491-5757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5469
ME
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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