Individual
CORY MICHAEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
17538 12TH AVE NE APT B513, SHORELINE, WA 98155-3777
(518) 728-7516
Mailing address
17538 12TH AVE NE APT B513, SHORELINE, WA 98155-3777
(518) 728-7516
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021112
NY
225700000X
Massage Therapist
MA60537199
WA
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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