Individual
DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 4TH ST, ASHLAND, OR 97520-2043
(541) 708-2088
Mailing address
233 4TH ST, ASHLAND, OR 97520-2043
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20098
OR
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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