Individual provider · Type 1 NPI
Stephane Marie Smith, LMT
Massage Therapist · Manitowoc, WI
NPI number
1548776347
Active
Practice location
814 Jay St
Manitowoc, WI 54220-4520
Mailing address
731 S 15th St
Manitowoc, WI 54220-3802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 12531-146 (WI) |
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.
2 other providers at this address
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About NPI 1548776347
Stephane Marie Smith, LMT's National Provider Identifier is 1548776347, issued on Dec 17, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Manitowoc, WI. The record was last updated on Dec 17, 2017.