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Contact Information

SHANNON K SMITH, LMT
12 1ST ST
RIVERHEAD, NY11901-4602
 Phone: 631-769-4969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for SHANNON K SMITH · (Female)

NPI # 1376378356
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 09/07/2024
Last updated 09/07/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 012899
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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