Individual
BRENDA RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3220 S WESTERN AVE STE 1, SIOUX FALLS, SD 57105-5347
(605) 691-9957
Mailing address
3220 S WESTERN AVE LOWR LEVEL, SIOUX FALLS, SD 57105-5347
(605) 777-9181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT11702
SD
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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