Individual
JEREMY A THOMAS-JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3108 6TH ST W, LEHIGH ACRES, FL 33971-1460
(239) 898-4136
(877) 836-4662
Mailing address
3108 6TH ST W, LEHIGH ACRES, FL 33971-1460
(239) 898-4136
(877) 836-4662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA78028
FL
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA78028
LICENSE MASSAGE THERAPIST
FL
Enumeration date
07/29/2019
Last updated
11/27/2023
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