Individual
MRS. DORIS L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
738 LCR 474, MEXIA, TX 76667-2690
(254) 716-5162
Mailing address
738 LCR 474, MEXIA, TX 76667-2690
(254) 716-5162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT115307
TX
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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