Lea Rosemarie Thibeault, Massage Theripast
Massage Therapist in Hazleton, PA. Individual provider (NPI-1).
NPI number1245536622
StatusActive
Last updated in NPPESFeb 2, 2011
Details
- NPI
- 1245536622
- Entity type
- Individual (NPI-1)
- Name
- Lea Rosemarie Thibeault
- Credential
- Massage Theripast
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2011
- Last updated
- Feb 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
305 S Church StSuite 115
Hazleton, PA 18201-7605
Phone 570-497-4766 · Fax 570-245-3899
Mailing address
305 S Church StSuite 115
Hazleton, PA 18201-7605
Phone 570-497-4766 · Fax 570-245-3899
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