Individual
KEVIN A THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
21315 33RD RD, BAYSIDE, NY 11361-1508
(718) 962-0799
Mailing address
19510B PECK AVE # 10B, FRESH MEADOWS, NY 11365-2857
(347) 256-5906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032238
NY
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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