Individual
BEVERLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MMP
Contact information
Practice address
232 2ND ST NW, MASON CITY, IA 50401-3108
(641) 420-2822
Mailing address
PO BOX 496, MASON CITY, IA 50402-0496
(641) 420-2822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
005608
IA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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