Alycia Renae Smith, CMT
Massage Therapist in Minneapolis, MN. Individual provider (NPI-1).
NPI number1730690751
StatusActive
Last updated in NPPESOct 17, 2017
Details
- NPI
- 1730690751
- Entity type
- Individual (NPI-1)
- Name
- Alycia Renae Smith
- Credential
- CMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2017
- Last updated
- Oct 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | MN | Yes |
Practice location
2937 Lyndale Ave SMinneapolis, MN 55408-2171
Phone 612-879-8000
Mailing address
2937 Lyndale Ave SMinneapolis, MN 55408-2171
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