NPI 1003241910

Shannon Smith, DOMLACLMT

Practitioner Acupuncturist Las Vegas, NM

Practice location

Address: 128 Bridge St, Las Vegas, NM 87701-3427
Phone: (505) 310-3239
Mailing address: 2421 Jessie Lee Ln, Las Vegas, NM 87701-5026

Registered specialties (2)

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 1098 (NM)

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0351 (NM)

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Registry record

NPI: 1003241910
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2013
Record last updated: 10 Sep 2013

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.