IndividualActive
Shannon Smith, LMT
NPI 1376378356 · Mechanotherapist · Riverhead, NY
Provider details
- NPI number
- 1376378356
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 012899 (NY)
Mailing address
12 1st St
Riverhead, NY 11901-4602
Registry dates
- Enumerated
- 2024-09-07
- Last updated
- 2024-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.