Individual
AYANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1206 SW MAIN BLVD STE 101, LAKE CITY, FL 32025
(386) 259-3424
(386) 378-3426
Mailing address
1206 SW MAIN BLVD STE 101, LAKE CITY, FL 32025
(386) 259-3424
(386) 378-3426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA78811
FL
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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