MR. Thomas Harold Mire JR., LMT

NPI #1306423538 in Santa Rosa Beach, Florida

Provider Information

NPI Number: 1306423538
Entity Type: Individual
Name: MR. Thomas Harold Mire JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 25, 2021
Last Updated: Mar 25, 2021

Practice Location

Address: 89 SUMMER WIND TRL
City: Santa Rosa Beach
State: Florida
ZIP Code: 32459-3496
Phone: (850) 502-1998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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