Individual
NICHOLAS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
355 VIRGINIA ST, COLUMBIA, SC 29201-4643
(803) 586-2885
Mailing address
355 VIRGINIA ST, COLUMBIA, SC 29201-4643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9122
SC
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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