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Jeffrey Clinton Smith
Massage Therapist in Pueblo West, Colorado
NPI 1447723101

Jeffrey Clinton Smith is a Massage Therapist based in Pueblo West, CO. Jeffrey Clinton Smith practices in Pueblo West, CO. The NPI Number for Jeffrey Clinton Smith is 1447723101 and holds a License No. MT0018492 (Colorado).

The current practice location address for Jeffrey Clinton Smith is 254 W Palmer Lake Dr, Pueblo West, CO and can be reached out via phone at 719-287-1630.

Location: 254 W Palmer Lake Dr, Pueblo West, CO, 81007-2877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447723101
Provider Name
Jeffrey Clinton Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
254 W Palmer Lake Dr, Pueblo West, CO, 81007-2877
Phone Number
719-287-1630
Fax Number
Provider Enumeration Date
01/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
254 W Palmer Lake Dr
City
Pueblo West
State
Colorado
Zip
81007-2877
Phone Number
719-287-1630
Fax Number
person
Provider Business Mailing Address Details
Address
254 W Palmer Lake Dr
City
Pueblo West
State
Colorado
Zip
81007-2877
Phone Number
719-287-1630
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT0018492 (Colorado)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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