Individual
MACY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17706 INTERSTATE 30 N STE 3, BENTON, AR 72019-2930
(501) 315-4414
Mailing address
17706 INTERSTATE 30 N STE 3, BENTON, AR 72019-2930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5199
AR
Other
Enumeration date
09/07/2022
Last updated
07/22/2024
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