Individual
MRS. CYNTHIA K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3777 S. JOHNS AVE, EMMETT, ID 83617
(208) 365-5947
Mailing address
3777 S. JOHNS AVE, EMMETT, ID 83617
(208) 365-5947
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1367
ID
Other
Enumeration date
03/11/2009
Last updated
08/18/2021
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