Provider Demographics
NPI:1851801864
Name:SMITS, ANDEE MAE (CMT)
Entity Type:Individual
Prefix:
First Name:ANDEE
Middle Name:MAE
Last Name:SMITS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6127 UNION ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4152
Mailing Address - Country:US
Mailing Address - Phone:303-249-6242
Mailing Address - Fax:
Practice Address - Street 1:6127 UNION ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4152
Practice Address - Country:US
Practice Address - Phone:303-249-6242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COM.T.0007618225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist