Mr Thomas Harold Mire Jr, LMT | |
89 Summer Wind Trl, Santa Rosa Beach, FL 32459-3496 | |
(850) 502-1998 | |
Not Available |
Full Name | Mr Thomas Harold Mire Jr |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 89 Summer Wind Trl, Santa Rosa Beach, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306423538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA95597 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Harold Mire Jr, LMT 89 Summer Wind Trl, Santa Rosa Beach, FL 32459-3496 Ph: (850) 502-1998 | Mr Thomas Harold Mire Jr, LMT 89 Summer Wind Trl, Santa Rosa Beach, FL 32459-3496 Ph: (850) 502-1998 |
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