Individual
MR. STEPHEN DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(416) 673-6575
Mailing address
7976 W 10TH AVE APT F330, KENNEWICK, WA 99336-5881
(512) 420-3071
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA61184819
WA
225X00000X
Occupational Therapist
Primary
434544
OR
225X00000X
Occupational Therapist
OT61261928
WA
Other
Enumeration date
03/11/2020
Last updated
01/07/2026
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