Individual
LIZETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3806 MISSION CREEK DR, AUSTIN, TX 78735-1400
(512) 940-9947
Mailing address
3806 MISSION CREEK DR, AUSTIN, TX 78735-1400
(512) 940-9947
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129392
TX
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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