NPI 1184263998

Edward Smith, MT

Practitioner Massage Therapist Portsmouth, VA

Practice location

Address: 4051 Cedar Ln, Portsmouth, VA 23703-2003
Phone: (757) 535-7234

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019016284 (VA)

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Registry record

NPI: 1184263998
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2019
Record last updated: 26 Dec 2019

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.