Individual
TINA BARNER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14670 S HARRISON ST, OLATHE, KS 66061-7224
(913) 938-4786
Mailing address
224 BEDFORD ST, GARDNER, KS 66030-1186
(708) 495-3620
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18-T-00101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18-T-00101
BCBS
KS
05
—
18-T-00101
—
KS
Enumeration date
01/12/2018
Last updated
01/15/2018
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