Individual
TANAYA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8450 HICKMAN RD STE 2, CLIVE, IA 50325-4308
(515) 346-8586
Mailing address
5513 AURORA AVE APT 3, DES MOINES, IA 50310-2314
(515) 864-9607
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
127784
IA
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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