Individual
KATHLEEN LESH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., C.N.M.T.
Contact information
Practice address
16306-B HWY. 84, CHAMA, NM 87520
(505) 629-3480
(575) 756-1652
Mailing address
HC 75 BOX 1250, LOS OJOS, NM 87551-9732
(575) 588-7558
(575) 756-1652
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6156
NM
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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