Individual
STEPHEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
626 E 4TH ST, TONGANOXIE, KS 66086-9219
(913) 333-8085
Mailing address
13140 KANSAS AVE APT A1-101, BONNER SPRINGS, KS 66012-9386
(913) 333-8085
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
KS
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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