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Mrs. Melinda Elise Smith, LMT,MMP
Specialist in Fort Wayne, Indiana
NPI 1598168197

Melinda Elise Smith is a Specialist based in Fort Wayne, IN. Melinda Elise Smith practices in Fort Wayne, IN and has the professional credentials of LMT,MMP. The NPI Number for Melinda Elise Smith is 1598168197 and holds a License No. MT209000676 (Indiana).

The current practice location address for Melinda Elise Smith is 5812 Maplecrest Rd, Fort Wayne, IN and can be reached out via phone at 260-969-7977 and via fax at 260-969-6590.

Location: 5812 Maplecrest Rd, Fort Wayne, IN, 46818-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598168197
Provider Name
Melinda Elise Smith
Credential
LMT,MMP
Provider Entity Type
Individual
Gender
Female
Address
5812 Maplecrest Rd, Fort Wayne, IN, 46818-2029
Phone Number
260-969-7977
Fax Number
260-969-6590
Provider Enumeration Date
09/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MT209000676 01 IN MASSAGE THERAPY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
5812 Maplecrest Rd
City
Fort Wayne
State
Indiana
Zip
46835-3840
Phone Number
260-969-7977
Fax Number
260-969-6590
person
Provider Business Mailing Address Details
Address
5812 Maplecrest Rd
City
Fort Wayne
State
Indiana
Zip
46835-3840
Phone Number
260-969-7977
Fax Number
260-969-6590
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MT209000676 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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