NPI 1609349026

Jessica Smith, LMT

Practitioner Massage Therapist Arthur, IL

Practice location

Address: 2046 Jonathan Creek Rd, Arthur, IL 61911-6108
Phone: (217) 962-0614
Mailing address: 808 S Don Ryan St, Hammond, IL 61929-7219

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 227.020428 (IL)

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Registry record

NPI: 1609349026
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2019
Record last updated: 8 Jan 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.