Individual
JILL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
981 37TH PL, VERO BEACH, FL 32960-6541
(772) 913-0275
Mailing address
3925 CANAL DR, SEBASTIAN, FL 32976-2907
(772) 913-0275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA#33015
FL
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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