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NPI Code Detail

MEDICARE: CHRIS THOMAS

MEDICARE:   CHRIS  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
1225700000XMassage TherapistMA55807FL

General Provider Information

NPI Number : 1326455114
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS THOMAS
Provider Business Mailing Address
First Line : 3031 NE 20TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S CONGRESS AVE
Second Line :
City : LAKE WORTH
State : FL
Zip : 33462-1347
Country : US
Telephone Number : 561-214-9217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 07/14/2014

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Directions to “ CHRIS THOMAS ” Practice Location

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