Individual
THEODORE MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCTMB
Contact information
Practice address
13818 6760 RD, MONTROSE, CO 81401-7494
(970) 316-1930
Mailing address
1763 FREEDOM WAY, MONTROSE, CO 81401-7797
(970) 316-1930
(970) 964-4439
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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