Individual
KENDRA SUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
608 S HICO ST, SILOAM SPRINGS, AR 72761
(479) 549-3100
Mailing address
12455 OAK KNOLL CIR, GENTRY, AR 72734
(940) 389-5584
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3816
AR
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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