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NPI Code Detail

MEDICARE: SYDNEY CORRIE EILEEN THOMAS

MEDICARE: SYDNEY CORRIE EILEEN THOMAS
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
1225700000XMassage TherapistMA60503806WA

General Provider Information

NPI Number : 1578952743
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY CORRIE EILEEN THOMAS
Provider Business Mailing Address
First Line : 3933 STONE WAY N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8017
Country : US
Telephone Number : 206-941-4425
Fax Number :
Provider Business Practice Location Address
First Line : 3933 STONE WAY N
Second Line :
City : SEATTLE
State : WA
Zip : 98103-8017
Country : US
Telephone Number : 206-941-4425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2015
Last Update Date : 01/12/2015

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Directions to “ SYDNEY CORRIE EILEEN THOMAS ” Practice Location

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