Individual
TRACI RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 HAWKINS DR, SEARCY, AR 72143-4802
(501) 279-9255
Mailing address
2918 HAWKINS DR, SEARCY, AR 72143-4802
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4506
AR
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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