| Thomas Robert Divis, LMT | |
|
15436 Bel Red Rd, Redmond, WA 98052-5536 | |
| (206) 267-0814 | |
| Not Available |
| Full Name | Thomas Robert Divis |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 15436 Bel Red Rd, Redmond, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508368127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA60706487 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Robert Divis, LMT 16255 Ne 27th St, Bellevue, WA 98008-2209 Ph: (509) 322-1737 | Thomas Robert Divis, LMT 15436 Bel Red Rd, Redmond, WA 98052-5536 Ph: (206) 267-0814 |
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