Individual
PENNY LEA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 W HUDSON ST, SPEARFISH, SD 57783-2343
(605) 440-2499
Mailing address
144 W HUDSON ST, SPEARFISH, SD 57783-2343
(605) 210-2453
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10878
SD
Other
Enumeration date
07/21/2021
Last updated
08/05/2021
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