| Doctor Name: | MRS. NANCY MARIE SMYTH |
| NPI Number: | 1053637397 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MOT/OTR/L |
| License Number: | 0720000083 |
| Business Practice Address: | 105-4 Madriver Green Waitsfield, VT - 056730760 |
| Business Phone Number: | 8022792091 |
| Business Fax Number: | 8024969874 |
| Mailing Address: | Po Box 760, WAITSFIELD |
| State: | VT |
| Postal Code: | 056730760 |
| Phone Number: | 8022792091 |
| Fax Number: | 8024969874 |
| NPI Enumeration Date: | 04/12/2010 |
| NPI Last Update Date: | 04/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | 0720000083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |