Individual provider · Type 1 NPI
Edward Smith, LMT
Massage Therapist · Louisville, KY
NPI number
1902496607
Active
Practice location
4227 Poplar Level Rd
Louisville, KY 40213-1527
Mailing address
2126 Village Dr Apt 4
Louisville, KY 40205-1940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 161913 (KY) |
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 1902496607
Edward Smith, LMT's National Provider Identifier is 1902496607, issued on Jan 26, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Louisville, KY. The record was last updated on Jan 26, 2021.