Provider Demographics
NPI:1285758037
Name:ELMAN, THOMAS H (AP, LMT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:H
Last Name:ELMAN
Suffix:
Gender:M
Credentials:AP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3039 49TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-2725
Mailing Address - Country:US
Mailing Address - Phone:727-344-8690
Mailing Address - Fax:727-381-9390
Practice Address - Street 1:3039 49TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-2725
Practice Address - Country:US
Practice Address - Phone:727-344-8690
Practice Address - Fax:727-381-9390
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1475171100000X
FLMA16588225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist