Individual
MR. DAVID MICHEAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5840 ALPHA RD, DALLAS, TX 75240-1118
(972) 891-4362
Mailing address
PO BOX 850351, RICHARDSON, TX 75085-0351
(972) 891-4362
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT100516
TX
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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