MEDICARE: MISS CATHERINE FLORENCE 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	18KT00597300	NJ

General Provider Information

NPI Number	:	1467922542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CATHERINE FLORENCE THOMAS LMT

Provider Business Mailing Address
First Line	:	101 CHELSEA AVE
Second Line	:
City	:	PINE BEACH
State	:	NJ
Zip	:	08741-1409
Country	:	US
Telephone Number	:	732-341-5954
Fax Number	:	732-341-5955

Provider Business Practice Location Address
First Line	:	101 CHELSEA AVE
Second Line	:
City	:	PINE BEACH
State	:	NJ
Zip	:	08741-1409
Country	:	US
Telephone Number	:	732-341-5954
Fax Number	:	732-341-5955

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

Provider Enumeration Date	:	11/30/2018
Last Update Date	:	11/30/2018

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Directions to “ MISS CATHERINE FLORENCE THOMAS LMT” Practice Location

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