Thomas Michael Rose LMT

NPI 1063636900 - Massage Therapist - 225700000X

NPI Details
NPI 1063636900
Gender Male
Enumeration Date 04/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
417 N CAUSEWAY
NEW SMYRNA BEACH FL, 32169-5266, US
Phone (386) 426-2232
Fax (386) 426-7866
Business Location
308 DUE EAST AVE
NEW SMYRNA BEACH FL, 32169-2413, US
Phone (386) 478-0022
Fax (386) 426-7866
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA24979
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According to our database, Mr. Thomas Michael Rose LMT NPI is 1063636900, taxonomy code is 225700000X and license number is MA24979, license state is located at Florida. Thomas Michael Rose LMT physically located at 417 N Causeway, New Smyrna Beach FL, 32169-5266. NPI Number Thomas Michael Rose LMT has the Individual type.

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1063636900 NPI number is provided on an as is basis without warranty of any kind. 1063636900 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Michael Rose LMT are for informational purposes only.