Provider Demographics
NPI:1841529880
Name:TOMASSI, ANASTASIA (CMT)
Entity type:Individual
Prefix:MS
First Name:ANASTASIA
Middle Name:
Last Name:TOMASSI
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5093 SEEBALDT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-3756
Mailing Address - Country:US
Mailing Address - Phone:313-283-0214
Mailing Address - Fax:313-895-3035
Practice Address - Street 1:5093 SEEBALDT ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-3756
Practice Address - Country:US
Practice Address - Phone:313-283-0214
Practice Address - Fax:313-895-3035
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBUS2004-01252173C00000X
BUS2004-01252174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist
No174H00000XOther Service ProvidersHealth Educator