Individual provider · Type 1 NPI

Raymond Waller Smith, LMT

Massage Therapist · Richmond, MO

NPI number 1053712596 Active

Practice location

810 E Main St
Richmond, MO 64085-1908

Mailing address

1620 E Main St
Richmond, MO 64085-2610

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2004011221 (MO)

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 1053712596

Raymond Waller Smith, LMT's National Provider Identifier is 1053712596, issued on Sep 15, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Richmond, MO. The record was last updated on Sep 15, 2014.