Individual
TIFFANY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMT
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5861
Mailing address
1737 MCDONALD LN, NEW ALBANY, IN 47150-2413
(812) 941-0119
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
029838
KY
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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