Individual provider · Type 1 NPI
Heather Diane Smith, LMT
Massage Therapist · Logan, UT
NPI number
1114246469
Active
Practice location
1692 E 1030 N
Logan, UT 84341-3006
Fax (435) 797-1248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6477960-4701 (UT) |
| Massage Therapist | 225700000X | MT019872 (TX) |
| Massage Therapist | 225700000X | MT-09592 (AZ) |
| Massage Therapist | 225700000X | 507805-06 (IL) |
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 1114246469
Heather Diane Smith, LMT's National Provider Identifier is 1114246469, issued on May 26, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Logan, UT. The record was last updated on May 26, 2010.