Individual
KIMBERLY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1235 PROVIDENCE BLVD R # 1089, DELTONA, FL 32725-7363
(310) 421-7240
Mailing address
1235 PROVIDENCE BLVD R # 1089, DELTONA, FL 32725-7363
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
10846
CA
225700000X
Massage Therapist
Primary
MA101127
FL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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