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NPI Code Detail

MEDICARE: MRS. NAKEETA SHANEE SMITH LMT

MEDICARE:  MRS. NAKEETA SHANEE 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
1225700000XMassage TherapistMT114453TX

General Provider Information

NPI Number : 1841830346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAKEETA SHANEE SMITH LMT
Provider Business Mailing Address
First Line : 327 CHARLESTON DR
Second Line :
City : ANNA
State : TX
Zip : 75409-5326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7502 CAMPBELL RD.
Second Line : SUITE 24
City : DALLAS
State : TX
Zip : 75248-1704
Country : US
Telephone Number : 469-456-6712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2020
Last Update Date : 01/13/2020

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Directions to “ MRS. NAKEETA SHANEE SMITH LMT” Practice Location

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