Individual
MRS. MORIS ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 INDIANA AVE, MAYFIELD, KY 42066-1799
(270) 247-6537
Mailing address
401 INDIANA AVE, MAYFIELD, KY 42066-1799
(270) 247-6537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00746
KY
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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