Latika R Smith, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501008449 Issued in MI

Practice address

23077 Greenfield Rd Ste 250
Southfield, MI 48075-3768

Phone

(248) 557-7336

Fax

(248) 557-4544

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bodylogic Massage Therapy LLC

  • Massage Therapist
  • Farmington, MI
  • NPI 1023842309
  NPD
• Physical Therapy Southfield, P.C.

  • Physical Therapist
  • Southfield, MI
  • NPI 1922072974
  NPD

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1295480655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19315 ANNCHESTER RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192725",
            "telephone_number": "313-469-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 250",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753768",
            "telephone_number": "248-557-7336",
            "fax_number": "248-557-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATIKA",
        "middle_name": "R",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501008449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lawson Smith, LMSW
• Kavena Smith, RN
• Kaylie Smith
• Kelly Margaret Smith, LPC LLP
• Lacy Smith
• Leka Cassinia Smith, NCTMB
• Leroy Smith
• Mahailey Smith
• Mark Smith, M.D.
• Markell Smith

• Massage Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.