Individual
CASEY C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CPT
Contact information
Practice address
1219 S EAST AVE, SUITE 202, SARASOTA, FL 34239-2340
(941) 735-0205
Mailing address
1219 S EAST AVE, SUITE 202, SARASOTA, FL 34239-2340
(941) 735-0205
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA66038
FL
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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