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General NPI Number Information
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NPI Number | 1629850177
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Entity Type | Individual
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Provider Name | ALYSSA M THOMAS L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2134 NICHOLASVILLE RD STE 12
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City | LEXINGTON
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State | KY
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Zip | 40503-2521
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Country | US
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Telephone | 502-661-1777
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Fax | 859-554-5287
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Provider Business Mailing Address
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Address Line | 3620 WALDEN DR STE 25
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City | LEXINGTON
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State | KY
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Zip | 40517-2069
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Country | US
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Telephone | 502-661-1777
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Fax | 859-554-5287
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 279650
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License Number State | KY
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