Healthcare Provider Details

I. General information

NPI: 1124953989
Provider Name (Legal Business Name): CHRISTINE PRICE-SMITH LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

562 W CRETE CIR UNIT 105
GRAND JUNCTION CO
81505-6959
US

IV. Provider business mailing address

602 39 RD
PALISADE CO
81526-9312
US

V. Phone/Fax

Practice location:
  • Phone: 970-234-0974
  • Fax:
Mailing address:
  • Phone: 970-234-0974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0013736
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: