Organization
TOMA MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALAN THOMAS LMT, BCTMB (MEMBER/OWNER)
(859) 442-8662
Entity
Organization
Contact information
Practice address
20 N GRAND AVE STE 12A, FORT THOMAS, KY 41075-1781
(859) 442-8662
Mailing address
20 N GRAND AVE STE 12A, FORT THOMAS, KY 41075-1781
(859) 442-8662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
108562
KY
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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