Individual
CASSIDY CANNA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1800
(405) 437-6130
Mailing address
2012 N ROBINSON AVE, OKLAHOMA CITY, OK 73103-4412
(405) 437-6130
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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