Kevin Thomas, AT

NPI #1164565651 in Mammoth Lakes, California

Provider Information

NPI Number: 1164565651
Entity Type: Individual
Name: Kevin Thomas, AT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: AT
Enumeration Date: Feb 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 85 SIERRA PARK RD
City: Mammoth Lakes
State: California
ZIP Code: 93546-0660
Phone: (760) 934-7302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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