Individual
MARISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
140 S MILL ST, NASHVILLE, IL 62263-1831
(618) 327-2000
Mailing address
140 S MILL ST, NASHVILLE, IL 62263-1831
(618) 327-2000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013906
IL
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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