DEREK GENE SMITH JR.


Address: 2801 Great Northern Loop, Missoula, MT 59808-1745
Phone: 4065499100

DEREK GENE SMITH JR. (NPI# 1053726323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053726323
Entity Type Individual
Full Name DEREK GENE SMITH JR.
Credential LMT
Practice Address 2801 Great Northern Loop
Missoula
MT 59808-1745
Practice Telephone 4065499100
Practice Fax Number 4065499151
Mailing Telephone 4065499100
Mailing Fax Number 4065499151
Enumeration Date 2014-06-25
Last Update Date 2014-06-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist LMT-LMT-LIC-6151 MT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers DEREK SMITH

NPI Name Taxonomy Address Enumeration
1407496110 Derek Jenkins Smith Home Health Aide 2514 24th St Ne, Washington, DC 20018-2126 2020-01-10
1922511765 Derek Smith Counselor 1317 Wilmer Ave Ste 102, Anniston, AL 36201-4600 2017-11-15
1871049437 Derek Anthony Smith Physical Therapist 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 2016-09-01
1518375682 Derek Smith Chiropractor 809 Iroquois Cir, Baraboo, WI 53913-1248 2014-08-01
1386066082 Derek Smith Pharmacist 727 E Main St, Havana, IL 62644-1530 2014-01-15
1730522863 Derek K Smith Student in an Organized Health Care Education/Training Program 2025 Morse Avenue 1east Rm#6, Sacramento, CA 95825 2013-04-08
1346582525 Derek Beeson Smith Orthopaedic Surgery 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 2013-03-26
1780937961 Derek Smith Physical Therapist 7405 W Arizona Pl, Lakewood, CO 80232-5416 2012-10-24
1407869019 Derek R Smith Psychiatry & Neurology One Towne Park Plaza, Norwich, CT 06360 2006-08-14
1689298861 Derek Nathaniel Smith Nurse Anesthetist, Certified Registered 1 Medical Village Dr, Edgewood, KY 41017-3403 2020-06-03

Office Location

Street Address 2801 GREAT NORTHERN LOOP
City MISSOULA
State MT
Zip Code 59808-1745

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073605200 Carl Edward Thornblade Allergy & Immunology 2801 Great Northern Loop, Suite 101, Missoula, MT 59808-1745 2006-09-28
1225685399 Carly Keene Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2019-08-22
1205332582 Cortney Alexandria Skinner Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2018-04-04
1912425794 Sarah Jean Nelson Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2017-08-31
1477906808 Tyler Rapke Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2016-07-21
1972960276 Laura Elizabeth Gilhousen Acupuncturist 2801 Great Northern Loop, Missoula, MT 59801 2016-01-19
1689047391 Randi Plouffe Reflexologist 2801 Great Northern Loop, Missoula, MT 59808-1745 2015-11-03
1649679408 April Gragg Chiropractor 2801 Great Northern Loop, Missoula, MT 59808-1745 2014-08-18
1649694092 Charles Vickrey Massage Therapist 2801 Great Northern Loop, Missoula, MT 59808-1745 2014-02-05
1740620830 Eugene Statelen Specialist 2801 Great Northern Loop, Missoula, MT 59808-1745 2013-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447720875 Megan Elizabeth Galliford Behavioral Analyst 1647 Shindig Dr, Apt 303, Missoula, MT 59808 2018-11-28
1518473560 Willow Mahana Nelson Griffith Registered Nurse 2829 Great Northern Loop Ste 300, Missoula, MT 59808 2017-12-28
1043739428 Carol Elizabeth Mckenzie Student in an Organized Health Care Education/Training Program 2705 Oshaughnessy St, Missoula, MT 59808 2017-09-16
1558884064 Sharon Marie Herndon Nurse Practitioner 2230 N Reserve St Ste 402, Missoula, MT 59808 2017-07-18
1427594761 Erin Boggs Specialist/Technologist 2921 Dublin St, Missoula, MT 59808 2017-01-10
1942603287 Benjamin Cody Mcintosh Chiropractor 1070 N. Russell St., Missoula, MT 59808 2014-10-01
1518219617 Pure Medical Inc Ambulance 5515 Bonanza Place, Missoula, MT 59808 2012-10-12
1932462231 Kathleen F Calcagno Specialist/Technologist 2615 Connery Way, Suite 2b, Missoula, MT 59808 2012-06-21
1639454127 Dentyn Dunaway Pharmacist 2527 N Reserve Street, Missoula, MT 59808 2011-10-15
1750557690 Carl Thornblade, Md, Pllc Allergy & Immunology 2801 Great Northern Loop Ste 101, Missoula, MT 59808 2008-04-30
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982216834 Rosemary A Stoudt Massage Therapist 415 N Higgins Ave Ste 128, Missoula, MT 59802-4563 2020-08-21
1114549540 Rozanne Smith Massage Therapist 700 South Ave W Ste C, Missoula, MT 59801-8011 2020-05-07
1215584719 Shelby Riley Massage Therapist 2801 S Russell St Ste 39, Missoula, MT 59801-7922 2019-08-20
1588229686 Kayla Hull Massage Therapist 1940 Harve Ave Ste B, Missoula, MT 59801-8332 2019-05-03
1063984078 Sarah Jane Hanlon Massage Therapist 801 Sherwood St Ste 1, Missoula, MT 59802-2659 2019-01-02
1184195182 Deep Tissue Massage Group, Inc. Massage Therapist 725 W Alder St Ste 20, Missoula, MT 59802-4099 2018-12-17
1518435940 Marc Benjamin Gonzalez Massage Therapist 397 Brianna Ct, Missoula, MT 59804-1041 2018-11-03
1780169847 Cindy Ardis Clippinger Massage Therapist 4708 Sage St, Missoula, MT 59808-1475 2018-09-25
1881181444 Carol Anne Lesser Massage Therapist 1918 Birch St, Missoula, MT 59802 2018-04-19
1700383940 Kelsey Hamilton Massage Therapist 6945 Linda Vista Blvd, Missoula, MT 59803 2018-04-12
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City MISSOULA
Zip Code 59808

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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