Doctor Name: | MRS. AMANDA R. KUCHARSKI SMITH |
NPI Number: | 1366631103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T., C.N.M.T. |
License Number: | 33.009660 |
Business Practice Address: | 1911 Main Ave Ste 260 Durango, CO - 813015083 |
Business Phone Number: | 9709461323 |
Business Fax Number: | 9703829828 |
Mailing Address: | 1911 Main Ave Ste 260, DURANGO |
State: | CO |
Postal Code: | 813015083 |
Phone Number: | 9709461323 |
Fax Number: | 9703829828 |
NPI Enumeration Date: | 10/17/2007 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.009660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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. |