Individual provider · Type 1 NPI
Althea Wyonna Smith, LMT
Massage Therapist · Monument, CO
NPI number
1780984328
Active
Practice location
251 Front
Monument, CO 80132-7997
Fax (719) 488-2250
Mailing address
251 Front St
Monument, CO 80132-9164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 5623 (CO) |
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 1780984328
Althea Wyonna Smith, LMT's National Provider Identifier is 1780984328, issued on Oct 29, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Monument, CO. The record was last updated on Oct 29, 2010.