Individual
DARA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2824 STABLE DR, KIMBALL, MI 48074-1435
(810) 966-1900
(810) 966-1901
Mailing address
2824 STABLE DR, KIMBALL, MI 48074-1435
(810) 966-1900
(810) 966-1901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000707
MI
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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