Individual
AMANDA C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9631 N NEVADA ST, SUITE 101, SPOKANE, WA 99218-1133
(509) 688-8710
(509) 688-6790
Mailing address
PO BOX 2808, SPOKANE, WA 99220-2800
(509) 688-8710
(509) 688-6790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60082849
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154414761
COLUMBIA MEDICAL ASSOCIATES GROUP NPI NUMBER
WA
Enumeration date
05/08/2009
Last updated
05/08/2009
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