Individual provider · Type 1 NPI
Lydia Shawn Smith, B.A., L.M.T.
Massage Therapist · Mount Dora, FL
NPI number
1013191196
Active
Practice location
411 N. Donnelly Street Suite 311, Beneficial Massage
Mount Dora, FL 32757-5596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA0008807 (FL) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1013191196
Lydia Shawn Smith, B.A., L.M.T.'s National Provider Identifier is 1013191196, issued on Dec 24, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Dora, FL. The record was last updated on Dec 24, 2007.