Doctor Name: | VICTORIA I SMITH |
NPI Number: | 1558597732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T., L.M.T. |
License Number: | 15851 |
Business Practice Address: | 51577 Columbia River Hwy Suite A Scappoose, OR - 970568409 |
Business Phone Number: | 5035430254 |
Business Fax Number: | 5035430259 |
Mailing Address: | 936 Se Oak St, HILLSBORO |
State: | OR |
Postal Code: | 971234214 |
Phone Number: | 8002198835 |
Fax Number: | 5036399699 |
NPI Enumeration Date: | 06/02/2009 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 15851 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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. |