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Individual

MRS. HEATHER ASHLEY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
14208 107TH AVENUE CT E, PUYALLUP, WA 98374-3827
(253) 961-2044
Mailing address
14208 107TH AVENUE CT E, PUYALLUP, WA 98374-3827
(253) 961-2044

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60160190
WA

Other

Enumeration date
07/08/2010
Last updated
07/08/2010
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