Individual provider · Type 1 NPI
Stacy Allgood-Smith, LMT
Massage Therapist · Frederick, MD
NPI number
1174873004
Active
Practice location
1780 N Market St, Unit B
Frederick, MD 21701-4300
Mailing address
1715 W 7th St Apt 7
Frederick, MD 21702-4285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | M04621 (MD) |
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 1174873004
Stacy Allgood-Smith, LMT's National Provider Identifier is 1174873004, issued on Sep 18, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Frederick, MD. The record was last updated on Sep 18, 2012.