Individual
MR. ELIJAH LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT / MA
Contact information
Practice address
3517 STONE WAY N, SEATTLE, WA 98103-8923
(510) 915-1903
Mailing address
5524 16TH AVE NE, SEATTLE, WA 98105-3415
(510) 915-1903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61386146
WA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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