Individual
AMY L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
300 6TH ST, RAPID CITY, SD 57701-5034
(605) 394-1813
Mailing address
300 6TH ST, RAPID CITY, SD 57701-5034
(605) 394-1813
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0731
SD
225X00000X
Occupational Therapist
1381
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
542182168
TAX ID
AK
05
—
OT33692
—
AK
Enumeration date
01/10/2007
Last updated
10/03/2016
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