Dr. Letitia Smith, also known Dr. Tish, was raised in Newport News, Virginia. She graduated from Virginia Tech (Go Hokies!) with a Bachelor of Science in Biological Sciences.

During her time as a student, she was introduced to chiropractic, and from there enrolled at Sherman College of Chiropractic in Spartanburg, SC, where she earned her Doctor of Chiropractic degree with honors.

She was awarded the Service Distinction Award at graduation for her exceptional commitment to servicing her community during her time as a student. She made her home in Okaloosa County in July 2018, after relocating with her husband, who serves in the United States Air force.