Provider Demographics
NPI:1033452172
Name:BRIEGEL, THOMAS (LMT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:BRIEGEL
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3953 HIGHWAY 61
Mailing Address - Street 2:
Mailing Address - City:BLUE GRASS
Mailing Address - State:IA
Mailing Address - Zip Code:52726-9424
Mailing Address - Country:US
Mailing Address - Phone:563-340-6637
Mailing Address - Fax:
Practice Address - Street 1:6027 N BRADY ST
Practice Address - Street 2:SUITE 'A' - SOOTHINGTOUCHWELLNESSCENTER.COM
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-2100
Practice Address - Country:US
Practice Address - Phone:563-340-6637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02881172M00000X, 173C00000X
175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
No173C00000XOther Service ProvidersReflexologist
No175L00000XOther Service ProvidersHomeopath