Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremy Tyrell Smith

Individual provider Massage Therapist · NPI 1871475392

Jeremy Tyrell Smith is a Massage Therapist in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2025

Practice location Address checks out

7840 Jewella Ave
Shreveport, LA 71108-5004
Phone: (318) 687-0881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence LA8462 (LA)

Record details

NPI number1871475392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

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