Individual
LISA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01969
KS
225X00000X
Occupational Therapist
2001017570
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-01969
STATE LICENSE
KS
01
—
2001017570
STATE LISENCE
MO
Enumeration date
05/24/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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