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Individual

HEATHER SHANNON THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
12165 REGENCY PKWY, HUNTLEY, IL 60142-7644
(847) 515-2655
Mailing address
624 CANTERBURY LN, PINGREE GROVE, IL 60140-9192
(847) 542-2723

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227011824
IL

Other

Enumeration date
09/08/2014
Last updated
09/08/2014
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