IndividualActive
Thomas Fasone, MASSAGE THERAPIST
NPI 1134497555 · Specialist · Ormond Beach, FL
Thomas Fasone, MASSAGE THERAPIST is a Specialist provider in Ormond Beach, FL (NPI 1134497555).
Provider details
- NPI number
- 1134497555
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MASSAGE THERAPIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA-14579 (FL)
Practice location
290 Clyde Morris Blvd
Suite B-2
Ormond Beach, FL 32174-8130
Phone: (386) 258-7900
Fax: (386) 898-0459
Street-level locationGet directions
Mailing address
Po Box 730354
Ormond Beach, FL 32173-0354
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2011-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.