NPI 1932414216

Penelope Smith, LMT

Practitioner Massage Therapist Picayune, MS

Practice location

Address: 2322 Highway 43 S Suite a, Picayune, MS 39466-7525
Phone: (601) 799-4118
Mailing address: 52 Morris Sones Rd, Picayune, MS 39466-6627

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 811 (MS)

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Registry record

NPI: 1932414216
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2010
Record last updated: 11 Aug 2010

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.