Individual
DIANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5305 N MAIN ST, DAYTON, OH 45415-3644
(937) 231-4928
Mailing address
3325 THEODORE AVE, DAYTON, OH 45405-2553
(937) 231-4928
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.023464
OH
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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