Emily Kathleen Smith, LMT
Individual provider Active NPI Reflexologist · Salem, OR
NPI 1831422401 · NPPES record last updated Sep 14, 2009
Key facts
- NPI
- 1831422401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reflexologist 173C00000X
- License
- 11308 (OR)
- Practice address
- 2663 Commercial St SE
Salem, OR 97302-4450 - Phone
- (503) 999-3668
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11308 | OR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 11308 | OR | Yes |
Addresses
Primary practice location
2663 Commercial St SE
Salem, OR 97302-4450
Mailing address
1705 Wood Duck St NE
Silverton, OR 97381-2516
Phone (503) 999-3668
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.