Individual
MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
1530A 5TH ST, BERKELEY, CA 94710-1713
(510) 725-1179
Mailing address
2933 MCCLURE ST APT 3, OAKLAND, CA 94609-3561
(301) 461-3888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80573
CA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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