Doctor Name: | SAMANTHA SMITH |
NPI Number: | 1184031007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA60183928 |
Business Practice Address: | 6808 220th St Sw Suite 203 Mountlake Terrace, WA - 980432187 |
Business Phone Number: | 4257761056 |
Business Fax Number: | 4257764357 |
Mailing Address: | 6808 220th St Sw, Suite 203 MOUNTLAKE TERRACE |
State: | WA |
Postal Code: | 980432187 |
Phone Number: | 4257761056 |
Fax Number: | 4257764357 |
NPI Enumeration Date: | 07/14/2014 |
NPI Last Update Date: | 07/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA60183928 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |