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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL DALE SMITH, LMT

Active Sole Proprietor

RUSSELL DALE SMITH, LMT is a Massage Therapist healthcare provider located in TILLAMOOK, Oregon. NPI 1477852580 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · TILLAMOOK, OR

Registration Details

NPI Number
1477852580
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2011 (15.393560196125 yrs)
Last Updated
Jan 28, 2012
License
15176 (OR)
Sole Proprietor
Yes

Practice Information

Address
309 ELM AVE
TILLAMOOK, OR, 971413437
Browse OR providers · Browse ZIP 97141
Phone
5038124435
Fax
5038420396
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in TILLAMOOK, OR

Name Credential NPI
ANNA ELIZABETH JACKSON LMT 1114206232
TAMMY AHN 1316363625
MRS. ALEGRA WOLFF-LYNNE LMT 1376054320
DANIELLE LEANNE HURD LMT 1841789971
MELODY ROEDER 1861031668
JULIANA M STEINBACH LMT 1811583610
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.