Angela Smith
Massage Therapist in Buffalo, NY. Individual provider (NPI-1).
NPI number1063998664
StatusActive
Last updated in NPPESJul 17, 2018
Details
- NPI
- 1063998664
- Entity type
- Individual (NPI-1)
- Name
- Angela Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2018
- Last updated
- Jul 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 029821 | NY | Yes |
Practice location
700 Main St Fl 1Buffalo, NY 14202-1924
Phone 716-830-3124
Mailing address
1112 Ferry Ave Apt 1Niagara Falls, NY 14301-1822
Phone 716-830-3124
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