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Individual

MS. TARA SUNSHINE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1008 S 40TH AVE, YAKIMA, WA 98908-3804
(509) 972-4000
(509) 972-4001
Mailing address
1001 S 41ST AVE # 7, YAKIMA, WA 98908-3843
(509) 307-6961
(509) 972-4001

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00015454
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA00015454
MASSAGE PRACTITIONER
WA
Enumeration date
03/07/2007
Last updated
07/08/2007
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