Provider Demographics
NPI:1295989655
Name:THOMAS, APRIL DAWN (LMP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DAWN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 SR 92
Mailing Address - Street 2:UNIT 14
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-9623
Mailing Address - Country:US
Mailing Address - Phone:425-736-0676
Mailing Address - Fax:
Practice Address - Street 1:9433 4TH ST NE
Practice Address - Street 2:SUITE 104
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-1653
Practice Address - Country:US
Practice Address - Phone:425-397-8681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60018998225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist