Individual
SUE THERESE SMITH
Active
Individual
SUE THERESE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCBTMB
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000478
IL
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
Update your record
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