Individual
TIMOTHY JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 1/2 S COCHRAN AVE STE A, CHARLOTTE, MI 48813-1509
(517) 667-7543
Mailing address
4723 HARTEL RD LOT 16, POTTERVILLE, MI 48876-9779
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75501011942
MI
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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