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Individual

MARCELLA ALICE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5516 OVERBROOK WOODS PL APT 103, LOUISVILLE, KY 40291-5436
(502) 356-2815
Mailing address
5516 OVERBROOK WOODS PL APT 103, LOUISVILLE, KY 40291-5436
(502) 356-2815

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
248360
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0157786384
CBI -COMMUNITY BUSINESS IDENTIFIER
KY
Enumeration date
03/17/2020
Last updated
03/17/2020
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