Thomas J Cavanaugh, LMT is a
Massage Therapist based in Dyer, Indiana. Thomas J Cavanaugh is licensed to practice in Indiana (license number MT21806523) and his current practice location is
425 Joliet St Ste 212, Dyer, Indiana. He can be reached at his office (for appointments etc.) via phone at
(219) 381-9772.
NPI number for Thomas J Cavanaugh is 1770076309 and his current mailing address is 618 214th St, Dyer, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770076309.
Healthcare Provider's Profile
| Full Name | Thomas J Cavanaugh |
|---|
| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 425 Joliet St Ste 212, Dyer, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770076309
- Provider Enumeration Date: 06/08/2018
- Last Update Date: 06/08/2018
Medical Identifiers
Medical identifiers for Thomas J Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770076309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT21806523 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas J Cavanaugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thomas J Cavanaugh, LMT
618 214th St,
Dyer, IN 46311-1508
Ph: (219) 333-1972 | Thomas J Cavanaugh, LMT
425 Joliet St Ste 212,
Dyer, IN 46311-1766
Ph: (219) 381-9772 |
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