Healthcare Provider Details

I. General information

NPI: 1316632193
Provider Name (Legal Business Name): THOMAS WINSTON TURNER LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 04/07/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3132 OLD WETUMPKA HWY
MONTGOMERY AL
36110
US

IV. Provider business mailing address

5759 BRIDLE PATH LN APT 734
MONTGOMERY AL
36116-1048
US

V. Phone/Fax

Practice location:
  • Phone: 334-498-4107
  • Fax:
Mailing address:
  • Phone: 770-881-1457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number6148
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: