Healthcare Provider Details

I. General information

NPI: 1609705649
Provider Name (Legal Business Name): RAY OF LIGHT HEALING STUDIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 W PHELPS ST STE 102
SPRINGFIELD MO
65806-1023
US

IV. Provider business mailing address

4315 E FARM ROAD 148
SPRINGFIELD MO
65809-3006
US

V. Phone/Fax

Practice location:
  • Phone: 801-231-1027
  • Fax:
Mailing address:
  • Phone: 801-231-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAWN C SMULSKI
Title or Position: OWNER
Credential: LMT
Phone: 801-231-1027