Individual
JERILYN F THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
630 PARK ST, STOUGHTON, MA 02072-3659
(781) 626-2643
Mailing address
6 CAREY ST, MIDDLEBORO, MA 02346-1505
(774) 381-1208
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6621
MA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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