Brenda G Smith, LMT Valid NPI

Individual provider · Massage Therapist · Eagle, ID

NPI

1487168142

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

MASG-2220 (ID)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-11-16

Last updated

2017-11-16