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NPI Code Detail

MEDICARE: THOMAS JOSEPH BROOKS LMP

MEDICARE: THOMAS JOSEPH BROOKS LMP
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 Therapist

General Provider Information

NPI Number : 1609918481
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS JOSEPH BROOKS LMP
Provider Business Mailing Address
First Line : PO BOX 78193
Second Line :
City : SEATTLE
State : WA
Zip : 98178-0193
Country : US
Telephone Number : 206-772-5315
Fax Number : 206-774-8751
Provider Business Practice Location Address
First Line : 2366 EASTLAKE AVE E STE 407
Second Line :
City : SEATTLE
State : WA
Zip : 98102-3394
Country : US
Telephone Number : 206-621-8834
Fax Number : 206-860-9700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 10/11/2007

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Directions to “ THOMAS JOSEPH BROOKS LMP” Practice Location

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