person
Mr. Thomas Benjamin Halvorson, LMP
Student in an Organized Health Care Education/Training Program in Tacoma, Washington
NPI 1710306022

Thomas Benjamin Halvorson is a Student in an Organized Health Care Education/Training Program based in Auburn, WA. Thomas Benjamin Halvorson practices in Tacoma, WA and has the professional credentials of LMP. The NPI Number for Thomas Benjamin Halvorson is 1710306022 and holds a License No. MA60457447 (Washington).

The current practice location address for Thomas Benjamin Halvorson is 5609 S Lawrence St, Tacoma, WA and can be reached out via phone at 253-380-2685.

Location: 5609 S Lawrence St, Tacoma, WA, 98001-2225
person
Provider Profile Details
NPI Number
1710306022
Provider Name
Thomas Benjamin Halvorson
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
5609 S Lawrence St, Tacoma, WA, 98001-2225
Phone Number
253-380-2685
Fax Number
Provider Enumeration Date
04/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60457447 01 WA WASINGTON STATE MASSAGE LICENCE
institution
Provider Business Practice Location Address Details
Address
5609 S Lawrence St
City
State
Zip
98409-5319
Phone Number
253-380-2685
Fax Number
person
Provider Business Mailing Address Details
Address
5609 S Lawrence St
City
State
Zip
98409-5319
Phone Number
253-380-2685
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MA60457447 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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