Carrie Thomas

Individual provider Active NPI Massage Therapist · Palmyra, MO

NPI 1356765028 · NPPES record last updated Feb 14, 2014

Key facts

NPI
1356765028
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
1219 S Main St
Palmyra, MO 63461-1943
Phone
(573) 769-3480
NPI assigned
Feb 14, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Yes

Addresses

Primary practice location

1219 S Main St
Palmyra, MO 63461-1943

Mailing address

424 S Dickerson St
Palmyra, MO 63461-1506
Phone (573) 470-7262

Other providers in Palmyra, MO

All providers in Palmyra, MO · Massage Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.