Lea Rosemarie Thibeault, MASSAGE THERIPAST

NPI #1245536622 in Hazleton, Pennsylvania

Provider Information

NPI Number: 1245536622
Entity Type: Individual
Name: Lea Rosemarie Thibeault, MASSAGE THERIPAST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MASSAGE THERIPAST
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 305 S CHURCH ST
Address 2: SUITE 115
City: Hazleton
State: Pennsylvania
ZIP Code: 18201-7605
Phone: (570) 497-4766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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