Individual
ALYCIA RENAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
2937 LYNDALE AVE S, MINNEAPOLIS, MN 55408-2171
(612) 879-8000
Mailing address
2937 LYNDALE AVE S, MINNEAPOLIS, MN 55408-2171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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