| Doctor Name: | KATHLEEN LESH SMITH |
| NPI Number: | 1326323882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.T., C.N.M.T. |
| License Number: | 6156 |
| Business Practice Address: | 16306-b Hwy. 84 Chama, NM - 87520 |
| Business Phone Number: | 5056293480 |
| Business Fax Number: | 5757561652 |
| Mailing Address: | Hc 75 Box 1250, LOS OJOS |
| State: | NM |
| Postal Code: | 875519732 |
| Phone Number: | 5755887558 |
| Fax Number: | 5757561652 |
| NPI Enumeration Date: | 10/17/2011 |
| NPI Last Update Date: | 10/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | 6156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |