Provider Demographics
NPI:1548589260
Name:HIGHSMITH, VALEDEAR (NCTMB)
Entity Type:Individual
Prefix:MR
First Name:VALEDEAR
Middle Name:
Last Name:HIGHSMITH
Suffix:
Gender:M
Credentials:NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 GUERNSEY AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3805
Mailing Address - Country:US
Mailing Address - Phone:215-776-0518
Mailing Address - Fax:
Practice Address - Street 1:1001 EASTON RD
Practice Address - Street 2:SUITE M200
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2028
Practice Address - Country:US
Practice Address - Phone:215-776-0518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist