Provider / Organization | NPI | Date Certified |
---|---|---|
DENISE ANGELITA SMITH | 1255504197 | 2008-04-11 |
Denise Angelita Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255504197. Registration indicates Denise Angelita Smith is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Mrs. Denise Angelita Smith LMT |
Practice Office Address | 1470 NW 47TH AVE COCONUT CREEK, FL US |
Practice Office Telephone | 9549568555 |
Practice Office Fax | 9549741266 |
Mailing Address | 1470 NW 47TH AVE COCONUT CREEK, FL 330633947 US |
Business Telephone | 9549568555 |
Business Fax | 9549741266 |
Code | Practice | License No State |
---|---|---|
225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | MA31477
FL |