Individual
KYLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2333 E SOUTHERN AVE UNIT 1101, TEMPE, AZ 85282-4175
(480) 680-7651
Mailing address
2333 E SOUTHERN AVE UNIT 1101, TEMPE, AZ 85282-4175
(480) 680-7651
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-19907
AZ
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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