NPI 1003079724

Bernard Anthony Smith, LMP

Practitioner Massage Therapist Auburn, WA

Practice location

Address: 3501 Auburn Way S Trlr 71, Auburn, WA 98092-7291
Phone: (253) 880-6948

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA00025299 (WA)

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Registry record

NPI: 1003079724
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2008
Record last updated: 2 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.