Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS LYDIA SHAWN SMITH, B.A., L.M.T.
Active Sole ProprietorMISS LYDIA SHAWN SMITH, B.A., L.M.T. is a Massage Therapist healthcare provider located in MT. DORA, Florida. NPI 1013191196 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MT. DORA, FL
Registration Details
- NPI Number
- 1013191196
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 24, 2007 (18.457554324123 yrs)
- Last Updated
- Dec 24, 2007
- License
-
MA0008807 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 N. DONNELLY STREET SUITE 311BENEFICIAL MASSAGEMT. DORA, FL, 327575596Browse FL providers · Browse ZIP 32757
- Phone
- 3523838007
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.