Individual
THOMAS LEOUS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 LEICESTER RD, KENMORE, NY 14217-2112
(716) 260-5276
Mailing address
72 LEICESTER RD, KENMORE, NY 14217-2112
(716) 260-5276
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028370-1
NY
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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