MR. Thomas Wayne Hatch, LMT

NPI #1942481197 in Prineville, Oregon

Provider Information

NPI Number: 1942481197
Entity Type: Individual
Name: MR. Thomas Wayne Hatch, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Nov 15, 2007
Last Updated: Nov 15, 2007

Practice Location

Address: 1250 NE TYLER AVE
City: Prineville
State: Oregon
ZIP Code: 97754-1349
Phone: (541) 447-8636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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