Individual
TYISHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13975 CONNECTICUT AVE STE 250, ASPEN HILL, MD 20906-2900
(240) 730-4455
Mailing address
2116 RIDING CROP WAY, WINDSOR MILL, MD 21244-1286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M06149
MD
Other
Enumeration date
02/07/2020
Last updated
03/29/2025
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