Lonnie Gene Smith, LMT, BS
Massage Therapist in Medford, OR. Individual provider (NPI-1).
NPI number1295257574
StatusActive
Last updated in NPPESJan 4, 2026
Details
- NPI
- 1295257574
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lonnie Gene Smith
- Credential
- LMT, BS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2017
- Certification date
- Jan 4, 2026
- Last updated
- Jan 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 20854 | OR | Yes |
Practice location
640 Herman AveMedford, OR 97501-1123
Phone 541-281-9909
Mailing address
640 Herman AveMedford, OR 97501-1123
Phone 541-281-9909
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