Most Relevant Information
Provider Data
| NPI Number: | 1003079724 |
| Provider Name: | BERNARD ANTHONY SMITH LMP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00025299 |
Most Important Dates
| Enumeration Date: | 07/02/2008 |
| Last Updated: | 07/02/2008 |
Provider Practice Location
3501 AUBURN WAY S TRLR 71
AUBURN
WA
980927291
Practice Location Phone/Fax
| Phone: | 2538806948 |
| Fax: |
Provider Mailing Location
3501 AUBURN WAY S TRLR 71
AUBURN
WA
980927291
Provider Mailing Phone/Fax
| Phone: | 2538806948 |
| Fax: |