Individual
KRISTI M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1579 W CHERRY ST, JESUP, GA 31545-0611
(912) 427-2162
(912) 427-2562
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2774
(706) 236-2783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008273
GA
225100000X
Physical Therapist
PT21677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00342394
RR MEDICARE
FL
Enumeration date
07/05/2005
Last updated
01/02/2014
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