Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 362 | NC |
NPI | 1013505346 |
---|---|
Provider Name | Haru Smith |
First Address | Hendersonville, NC 28793-6121 |
Second Address | Hendersonville, NC 28792-2878 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2021 |
Last Update Date | 03/01/2021 |