Individual
TARA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT,CD,CBE,CPD
Contact information
Practice address
4390 BELLS FERRY RD NW, KENNESAW, GA 30144-1354
(770) 380-6364
Mailing address
207 BROOKHAVEN CT, ACWORTH, GA 30102-2190
(770) 380-6364
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT003160
GA
374J00000X
Doula
—
GA
Other
Enumeration date
06/27/2024
Last updated
12/22/2024
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