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NPI Code Detail

MEDICARE: ADIA DENISE SMITH RBT

MEDICARE: ADIA DENISE SMITH RBT
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
1172V00000XCommunity Health WorkerNV

General Provider Information

NPI Number : 1902547680
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADIA DENISE SMITH RBT
Provider Business Mailing Address
First Line : 302 E CARSON AVE STE 1031
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5909
Country : US
Telephone Number : 775-388-8447
Fax Number :
Provider Business Practice Location Address
First Line : 302 E CARSON AVE STE 1031
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5909
Country : US
Telephone Number : 702-720-5141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 02/13/2026

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Directions to “ ADIA DENISE SMITH RBT” Practice Location

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