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MR. THOMAS MATTHEW KIPP L.M.T.

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1851578975

Individual Registrant:
MR. THOMAS MATTHEW KIPP L.M.T.
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

Contact information for business:
12830 SW 1ST LN STE 100  NEWBERRY, FL 32669-3260 US
Tel: 352-692-2131  Fax: 352-331-3221

Registration Information:
NPI: 1851578975
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA52473

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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