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Kenneth W Smith, LMT
Massage Therapist in Holly Hill, Florida
NPI 1942504758

Kenneth W Smith is a Massage Therapist based in Daytona Beach, FL. Kenneth W Smith practices in Holly Hill, FL and has the professional credentials of LMT. The NPI Number for Kenneth W Smith is 1942504758 and holds a License No. MA40128 (Florida).

The current practice location address for Kenneth W Smith is 240 Ridgewood Ave, Holly Hill, FL and can be reached out via phone at 386-492-2958.

Location: 240 Ridgewood Ave, Holly Hill, FL, 32117-1807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942504758
Provider Name
Kenneth W Smith
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
240 Ridgewood Ave, Holly Hill, FL, 32117-1807
Phone Number
386-492-2958
Fax Number
Provider Enumeration Date
01/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
240 Ridgewood Ave
City
Holly Hill
State
Florida
Zip
32117-4944
Phone Number
386-492-2958
Fax Number
person
Provider Business Mailing Address Details
Address
240 Ridgewood Ave
City
Holly Hill
State
Florida
Zip
32117-4944
Phone Number
386-492-2958
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA40128 (Florida)
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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