NPI 1174873004 · live from the CMS NPI Registry
Stacy Allgood-Smith, LMT
Massage Therapist in Frederick, MD. National Provider Identifier 1174873004, active.
NPI record
| NPI | 1174873004 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1780 N Market St, Unit B, Frederick, MD 21701 |
| Practice phone | 301-378-0334 |
| Mailing address | 1715 W 7th St Apt 7, Frederick, MD 21702 |
| Enumerated | September 18, 2012 |
| Last updated | September 18, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | M04621 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.