MEDICARE: MEADOW DAWN SMITH LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	304979	KY

General Provider Information

NPI Number	:	1245171008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEADOW DAWN SMITH LMT

Provider Business Mailing Address
First Line	:	1500 LEESTOWN RD STE 338
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40511-2047
Country	:	US
Telephone Number	:	859-317-8295
Fax Number	:	859-317-8410

Provider Business Practice Location Address
First Line	:	1500 LEESTOWN RD STE 338
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40511-2047
Country	:	US
Telephone Number	:	859-317-8295
Fax Number	:	859-317-8410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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Directions to “ MEADOW DAWN SMITH LMT” Practice Location

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