Individual
ALEXANDR P THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
214 PRODO DR STE 103, JEFFERSON CITY, MO 65109-3904
(573) 301-5656
Mailing address
835 WEATHERED ROCK RD APT 6, JEFFERSON CITY, MO 65101-1829
(573) 301-5656
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2017044399
MO
Other
Enumeration date
10/06/2018
Last updated
10/06/2018
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