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Individual

MR. KEITH B THOMPSON I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
206A 7TH ST, JUNEAU, AK 99801-1118
(907) 209-6533
Mailing address
206A 7TH ST, JUNEAU, AK 99801-1118
(907) 209-6533

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
173C00000X
Reflexologist
Primary

Other

Enumeration date
11/01/2013
Last updated
11/01/2013
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