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Individual

MRS. AMY SUE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
711 RUSH AVE, BELLEFONTAINE, OH 43311
(937) 592-1625
(937) 592-3489
Mailing address
711 RUSH AVE, BELLEFONTAINE, OH 43311
(937) 592-1625
(937) 592-3489

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33016446
OH

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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