Individual
MRS. COLLEEN MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
19213 103RD AVENUE CT E, GRAHAM, WA 98338-6444
(253) 820-7980
Mailing address
19213 103RD AVENUE CT E, GRAHAM, WA 98338-6444
(253) 820-7980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60095371
WA
Other
Enumeration date
07/16/2009
Last updated
01/07/2013
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