Heather Diane Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

6477960-4701 Issued in UT

Practice address

1692 E 1030 N
Logan, UT 84341-3006

Phone

(435) 994-1669

Fax

(435) 797-1248

NPI assigned

May 26, 2010

Last updated

May 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1114246469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 E 1030 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843413006",
            "telephone_number": "435-994-1669",
            "fax_number": "435-797-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 E 1030 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843413006",
            "telephone_number": "435-994-1669",
            "fax_number": "435-797-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "DIANE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "6477960-4701",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT019872",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-09592",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "507805-06",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kaye Smedley
• Angela Knowles Smith, DPT
• B Renee Smith
• Carla Knighton Smith
• Douglas F Smith, DDS
• Kaye Marie Smith, FNP
• Marvin Smith
• Paige Eden Smith
• Trevor Reed Smith, MD
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #477)

• Massage Therapist in Logan, UT
• Providers in Logan, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.