Individual
TAMRA MARJORIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7124 COMMONS DR UNIT D, CHEYENNE, WY 82009-2620
(307) 635-6777
Mailing address
7124 COMMONS DR UNIT D, CHEYENNE, WY 82009-2620
(307) 635-6777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
OL-21-41284
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OL-21-35997
CITY LICENSE
WY
Enumeration date
09/10/2020
Last updated
09/10/2020
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