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MR. THOMAS MATTHEW KIPP L.M.T.
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1851578975
Individual Registrant:MR. THOMAS MATTHEW KIPP L.M.T.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
12830 SW 1ST LN STE 100 NEWBERRY, FL 32669-3260 US
Tel: 352-692-2131 Fax: 352-331-3221
Tel: 352-692-2131 Fax: 352-331-3221
Contact information for business:
12830 SW 1ST LN STE 100 NEWBERRY, FL 32669-3260 US
Tel: 352-692-2131 Fax: 352-331-3221
Tel: 352-692-2131 Fax: 352-331-3221
Registration Information:
NPI: 1851578975
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | FL | MA52473 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
