Individual
AMY CANTER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
710 E MAIN ST, LEXINGTON, KY 40502-1668
(859) 629-6106
Mailing address
710 E MAIN ST, LEXINGTON, KY 40502-1668
(859) 629-6106
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
001892
KY
2251P0200X
Pediatric Physical Therapist
001892
KY
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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