Individual
JASON ELLIOTT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, MBA
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511-1052
(859) 233-4511
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132596
KY
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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