Individual
SARA CAITLYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 N MAIN ST, SPARTA, NC 28675-8895
(336) 657-1225
Mailing address
590 LOW GAP RD, JEFFERSON, NC 28640-8848
(336) 200-1021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18181
NC
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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