Individual
JENNIFER NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2665 DERR RD, SPRINGFIELD, OH 45503-2445
(937) 390-6138
Mailing address
7440 REBECCA DR, SOUTH VIENNA, OH 45369-9737
(937) 346-6073
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.017732
OH
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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