Individual
MISS RACHAEL ELIZABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T
Contact information
Practice address
454 S GLADSTONE AVE, SOUTH BEND, IN 46619-2607
(574) 344-3664
Mailing address
454 S GLADSTONE AVE, SOUTH BEND, IN 46619-2607
(574) 287-4481
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20902599
IN
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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