MEDICARE: SHARON A THOMAS LMT, NCMMT

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
1	174400000X	Specialist	130572	CO

General Provider Information

NPI Number	:	1063532356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON A THOMAS LMT, NCMMT

Provider Business Mailing Address
First Line	:	1619 SARATOGA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-1904
Country	:	US
Telephone Number	:	719-630-3199
Fax Number	:	719-227-8502

Provider Business Practice Location Address
First Line	:	1465 KELLY JOHNSON BLVD STE 320
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3947
Country	:	US
Telephone Number	:	719-630-3199
Fax Number	:	719-227-8502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	07/08/2007

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