Individual
HELEN R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1582
AK
225700000X
Massage Therapist
101226
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101226
ALASKA STATE MASSAGE THERAPY BOARD
AK
01
—
1582
ALASKA STATE PHYSICAL THERAPY BOARD
AK
05
—
PTA008 1029862
—
AK
Enumeration date
10/21/2008
Last updated
05/19/2020
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