Individual
MR. ROBERT KENNETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.T., M.M.P.
Contact information
Practice address
557 HIGHWAY 50, GRAND JCT, CO 81503-1907
(970) 314-1561
Mailing address
2029 2225 RD, DELTA, CO 81416-9545
(970) 314-1561
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
06/02/2012
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