Individual provider · Type 1 NPI

Derek Gene Smith Jr., LMT

Massage Therapist · Missoula, MT

NPI number 1053726323 Active

Practice location

2801 Great Northern Loop
Missoula, MT 59808-1745

Call (406) 549-9100 Map

Fax (406) 549-9151

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-LMT-LIC-6151 (MT)

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 1053726323

Derek Gene Smith Jr., LMT's National Provider Identifier is 1053726323, issued on Jun 25, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Missoula, MT. The record was last updated on Jun 25, 2014.