Doctor Name: | MRS. TINA NICOLE SMITH |
NPI Number: | 1538347323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA, LMT, NCTMB |
License Number: | 33.010538 |
Business Practice Address: | 505 Briarwood Dr L8 Enterprise, AL - 363305029 |
Business Phone Number: | 3442557169 |
Business Fax Number: | 3342557173 |
Mailing Address: | 505 Briarwood Dr, L8 ENTERPRISE |
State: | AL |
Postal Code: | 363305029 |
Phone Number: | 3343414514 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.010538 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |