Provider Demographics
NPI:1467066969
Name:TOMLINSON, ANTHONY JR (LMT, MMP)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:TOMLINSON
Suffix:JR
Gender:M
Credentials:LMT, MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 SIX FORKS RD STE 104
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3073
Mailing Address - Country:US
Mailing Address - Phone:919-703-6272
Mailing Address - Fax:
Practice Address - Street 1:8404 SIX FORKS RD STE 104
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3073
Practice Address - Country:US
Practice Address - Phone:919-703-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10452225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty