Alfonso Lamar Smith, L.M.T.
Massage Therapist in Fayetteville, NC. Individual provider (NPI-1).
NPI number1164067740
StatusActive
Last updated in NPPESOct 20, 2023
Details
- NPI
- 1164067740
- Entity type
- Individual (NPI-1)
- Name
- Alfonso Lamar Smith
- Credential
- L.M.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2019
- Certification date
- Oct 20, 2023
- Last updated
- Oct 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 16750 | NC | Yes |
Practice location
2000 Fort Bragg Rd Ste 4Fayetteville, NC 28303-7000
Phone 919-307-5081
Mailing address
2000 Fort Bragg Rd Ste 4Fayetteville, NC 28303-7000
Phone 919-307-5081
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