Provider Demographics
NPI:1548040546
Name:ROBINSON, THOMAS FRASER (PHD, LMT)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FRASER
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PHD, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 414
Mailing Address - Street 2:
Mailing Address - City:TWISP
Mailing Address - State:WA
Mailing Address - Zip Code:98856-0414
Mailing Address - Country:US
Mailing Address - Phone:509-998-2214
Mailing Address - Fax:
Practice Address - Street 1:214 GLOVER ST N
Practice Address - Street 2:
Practice Address - City:TWISP
Practice Address - State:WA
Practice Address - Zip Code:98856
Practice Address - Country:US
Practice Address - Phone:509-998-2214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60504379172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist