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NPI Code Detail

MEDICARE: KATHERINE THOMAS

MEDICARE: KATHERINE THOMAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1275084493
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE THOMAS
Provider Business Mailing Address
First Line : 5700 JOSHUA ST.
Second Line :
City : LANSING
State : MI
Zip : 48911
Country : US
Telephone Number : 517-402-9888
Fax Number :
Provider Business Practice Location Address
First Line : 5700 JOSHUA ST
Second Line :
City : LANSING
State : MI
Zip : 48911-5135
Country : US
Telephone Number : 517-402-9888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 10/24/2016

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Directions to “ KATHERINE THOMAS ” Practice Location

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