Individual
MR. THOMAS JOHN HENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
179 HANALEI DR STE 3, MORGANTOWN, WV 26508-4303
(850) 296-5424
Mailing address
179 HANALEI DR STE 3, MORGANTOWN, WV 26508-4303
(850) 296-5424
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2018-3609
WV
225700000X
Massage Therapist
MA79269
FL
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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