Individual
JESSIAH KENNETH SMITH-SHEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2878 ROOSEVELT BLVD, CLEARWATER, FL 33760-1923
(727) 507-8555
Mailing address
6550 150TH AVE N APT G203, CLEARWATER, FL 33760-2082
(727) 310-6554
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA88073
FL
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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