Individual
MS. ALTHEA WYONNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
251 FRONT, MONUMENT, CO 80132-7997
(719) 488-2250
(719) 488-2250
Mailing address
251 FRONT ST, MONUMENT, CO 80132-9164
(719) 488-2250
(719) 488-2250
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5623
CO
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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