Individual
MRS. STACY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
10370 PARK RD, SUITE 200, CHARLOTTE, NC 28210-8508
(704) 408-1466
Mailing address
2764 PLEASANT RD, #10637, FORT MILL, SC 29708-7299
(704) 408-1466
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15105
NC
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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