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General NPI Number Information
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NPI Number | 1457119406
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Entity Type | Individual
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Provider Name | CHRISTY MICHELLE SMITH LMT, MTI
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Gender | Female
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Dates
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Enumeration Date | 03/13/2024
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 3307 82ND ST UNIT I
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City | LUBBOCK
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State | TX
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Zip | 79423-2032
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Country | US
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Telephone | 806-549-9937
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Fax |
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Provider Business Mailing Address
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Address Line | 3027 68TH ST
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City | LUBBOCK
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State | TX
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Zip | 79413-6202
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Country | US
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Telephone | 325-268-6290
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT137265
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License Number State | TX
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