Jeffrey Clinton Smith, | |
254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 | |
(719) 287-1630 | |
Not Available |
Full Name | Jeffrey Clinton Smith |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 254 W Palmer Lake Dr, Pueblo West, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447723101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MT0018492 (Colorado) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Clinton Smith, 254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 Ph: (719) 287-1630 | Jeffrey Clinton Smith, 254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 Ph: (719) 287-1630 |
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