Healthcare Provider Details

I. General information

NPI: 1508718636
Provider Name (Legal Business Name): LINDI J SMITH LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 NM-68, UNIT 4
RANCHOS DE TAOS NM
87557
US

IV. Provider business mailing address

1209 MOUNTAIN ROAD PL NE # 6801
ALBUQUERQUE NM
87110-7845
US

V. Phone/Fax

Practice location:
  • Phone: 575-613-8427
  • Fax:
Mailing address:
  • Phone: 575-613-8427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-2025-0200
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: