Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MSG000120 | PA |
NPI | 1003251174 |
---|---|
Provider Name | Barbara Jane Smeltzer |
First Address | York, PA 17403-5151 |
Second Address | York, PA 17403-5151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 02/05/2013 |