Provider Demographics
NPI:1144382565
Name:HYSMITH, VENETTE RHEA (MT)
Entity Type:Individual
Prefix:MS
First Name:VENETTE
Middle Name:RHEA
Last Name:HYSMITH
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:VENETTE
Other - Middle Name:RHEA
Other - Last Name:ARFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1481 BENVENUE
Mailing Address - Street 2:
Mailing Address - City:SYLVAN LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48320-1715
Mailing Address - Country:US
Mailing Address - Phone:248-683-2526
Mailing Address - Fax:
Practice Address - Street 1:1481 BENVENUE
Practice Address - Street 2:
Practice Address - City:SYLVAN LAKE
Practice Address - State:MI
Practice Address - Zip Code:48320-1715
Practice Address - Country:US
Practice Address - Phone:248-683-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist