Doctor Name: | SHANNON L SMITH |
NPI Number: | 1891992566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 33.007877 |
Business Practice Address: | 850 Mckay Ct Boardman, OH - 445125745 |
Business Phone Number: | 3307266339 |
Business Fax Number: | 3307265799 |
Mailing Address: | 9845 Ginger Hill Rd, NEW MIDDLETWN |
State: | OH |
Postal Code: | 444428782 |
Phone Number: | 3305423099 |
Fax Number: | 3305423099 |
NPI Enumeration Date: | 06/27/2007 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.007877 |
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. |