Individual
MARIJA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17084 DALLAS PKWY, DALLAS, TX 75248-1968
(972) 991-9293
Mailing address
PO BOX 130902, DALLAS, TX 75313-0902
(618) 979-1919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT133874
TX
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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