Individual
CHEYENNE C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, LMT
Contact information
Practice address
704 SPRING MEADOWS DR # C, LEXINGTON, KY 40504-3624
(502) 758-8654
Mailing address
178 SAINT MARGARET DR, LEXINGTON, KY 40502-1162
(502) 758-8654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
286521
KY
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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