Individual provider · Type 1 NPI

Melissa Diane Smith, LMT

Massage Therapist · Starke, FL

NPI number 1841322245 Active

Practice location

9551 NW Cr 225
Starke, FL 32091

Call (904) 964-8512 Map

Fax (904) 964-8512

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 44102 (FL)

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 1841322245

Melissa Diane Smith, LMT's National Provider Identifier is 1841322245, issued on Mar 12, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Starke, FL. The record was last updated on Jul 8, 2007.