Elissa Rose Thomas, LMT

NPI #1154077873 in Lathrup Village, Michigan

Provider Information

NPI Number: 1154077873
Entity Type: Individual
Name: Elissa Rose Thomas, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 22, 2022
Last Updated: Feb 22, 2022

Practice Location

Address: 28860 SOUTHFIELD RD STE 202
City: Lathrup Village
State: Michigan
ZIP Code: 48076-2726
Phone: (248) 733-5876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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