Individual
KATIE CONDOS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCMT
Contact information
Practice address
64 KEARSARGE RD, NORTH CONWAY, NH 03860
(603) 986-2897
Mailing address
PO BOX 201, KEARSARGE, NH 03847-0201
(603) 986-2897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3300M
NH
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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