MEDICARE: MS. MEAGAN M THOMAS LMT

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	225700000X	Massage Therapist	MT22508630	IN

General Provider Information

NPI Number	:	1386596807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEAGAN M THOMAS LMT

Provider Business Mailing Address
First Line	:	10410 LILAC LN APT 1231
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-2789
Country	:	US
Telephone Number	:	260-224-4748
Fax Number	:

Provider Business Practice Location Address
First Line	:	4337 FLAGSTAFF CV
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-4400
Country	:	US
Telephone Number	:	260-485-9300
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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