Individual
SCOTT KEITH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1483 LOMA SOLA CT, UPLAND, CA 91786-2849
(213) 884-3619
Mailing address
1483 LOMA SOLA CT, UPLAND, CA 91786-2849
(213) 884-3619
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
40374
CA
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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