Thalia Lael Micah LMT

NPI 1013274463 - Massage Therapist - 225700000X

NPI Details
NPI 1013274463
Gender Female
Enumeration Date 04/23/2012
Last Updated 04/23/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
350 12TH RD APT 107
VERO BEACH FL, 32960-7645, US
Phone (772) 332-9885
Business Location
350 12TH RD # 107
Phone (772) 332-9885
Taxonomy Code 225700000X
License State Florida
License Number MA65758
Remove 1013274463 NPI Number

According to our database, Ms. Thalia Lael Micah LMT NPI is 1013274463, taxonomy code is 225700000X and license number is MA65758, license state is located at Florida. Thalia Lael Micah LMT physically located at 350 12th Rd Apt 107, Vero Beach FL, 32960-7645. NPI Number Thalia Lael Micah LMT has the Individual type.

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1013274463 NPI number is provided on an as is basis without warranty of any kind. 1013274463 is maintained by the National Plan & Provider Enumeration System. The contents of Thalia Lael Micah LMT are for informational purposes only.