NPI 1033567870
Kimberlie Smothermon
Practice location
- Address
- 1413 Ford Circle Dr, Wagoner, OK 74467-7016
- Phone
- (918) 861-3410
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1033567870
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jun 2016
- Record last updated
- 2 Jun 2016
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.