Individual
PEGGY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
309 GARRISON ST, FREMONT, OH 43420-3031
(567) 342-3231
Mailing address
70 N SANDUSKY ST, TIFFIN, OH 44883-1545
(567) 342-3231
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
021885
OH
174400000X
Specialist
Primary
021885
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IAG927A76724
ANTHEM
OH
Enumeration date
08/19/2016
Last updated
08/19/2016
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