Individual
SANDRA KATHLEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1255 FRANK RD, BELGRADE, MT 59714-9050
(406) 560-2164
Mailing address
1255 FRANK RD, BELGRADE, MT 59714-9050
(406) 560-2164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-LMT-LIC-4719
MT
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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