Provider Demographics
NPI:1770113086
Name:MACSAY, THOMAS RUMANN (ND)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:RUMANN
Last Name:MACSAY
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 FRAZEE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4347
Mailing Address - Country:US
Mailing Address - Phone:619-597-7744
Mailing Address - Fax:
Practice Address - Street 1:1425 FRAZEE RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4347
Practice Address - Country:US
Practice Address - Phone:619-597-7744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-26
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1139175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty