Individual
TANIKA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10 E BELL RD APT 1006, PHOENIX, AZ 85022-6302
(317) 366-3419
Mailing address
10 E BELL RD APT 1006, PHOENIX, AZ 85022-6302
(317) 366-3419
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MT-27152
AZ
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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