Individual
MISS ALISA DENISE THOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1311 S WESTERN AVE, MARION, IN 46953-1539
(765) 573-5854
Mailing address
1204 W 11TH ST, MARION, IN 46953-1732
(765) 573-5854
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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