Doctor Name: | THOMAS WILLIAM HARDING |
NPI Number: | 1245554542 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSOM, L.AC., CMT |
License Number: | 3780-046 |
Business Practice Address: | 92 E State Road 59 #b Edgerton, WI - 535349142 |
Business Phone Number: | 6082135693 |
Business Fax Number: | |
Mailing Address: | 97 Oakwood Ave, EDGERTON |
State: | WI |
Postal Code: | 535349319 |
Phone Number: | 6082135693 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2010 |
NPI Last Update Date: | 03/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3780-046 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |