DEREK GENE SMITH

MISSOULA, MT
NPI1053726323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: MT  LMT-LMT-LIC-6151)
Enumeration Date2014-06-25
Last Update Date2014-06-25
Business Address
-- DEREK GENE SMITH LMT
2801 GREAT NORTHERN LOOP
MISSOULA, MT 59808-1745
Phone number: 406-549-9100
Mailing Address
-- DEREK GENE SMITH LMT
2801 GREAT NORTHERN LOOP
MISSOULA, MT 59808-1745
Phone number: 406-549-9100
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