Individual
TIARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18404 GLEN OAK AVE, LANSING, IL 60438-2823
(708) 897-1417
Mailing address
18404 GLEN OAK AVE, LANSING, IL 60438-2823
(708) 897-1417
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022980
IL
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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