Provider Demographics
NPI:1558557207
Name:THOMAS, JANET DYER (LMT)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:DYER
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 COLONY SQ
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-3644
Mailing Address - Country:US
Mailing Address - Phone:713-725-2000
Mailing Address - Fax:281-332-7593
Practice Address - Street 1:58 COLONY SQ
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-3644
Practice Address - Country:US
Practice Address - Phone:713-725-2000
Practice Address - Fax:281-332-7593
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT016702225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist