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Individual

MRS. PEYTON DIAHNN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT (LICENSED MASSAG

Contact information

Practice address
2345 W ELM ST, LIMA, OH 45805-2540
(419) 233-4827
(567) 940-5464
Mailing address
PO BOX 1087, LIMA, OH 45802-1087
(419) 233-4827

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.012230
OH

Other

Enumeration date
12/09/2013
Last updated
08/03/2020
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