Individual
ASHLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
355 W CARPENTER ST STE A, SPRINGFIELD, IL 62702-4935
(309) 528-7541
(217) 528-6473
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 525-7616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021545
IL
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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