Individual
MR. JEFFREY RANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2937 LYNDALE AVE S, MINNEAPOLIS, MN 55408-2171
(651) 338-7178
Mailing address
508 RIDGEWOOD AVE APT 5, MINNEAPOLIS, MN 55403-3579
(651) 338-7178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-3151170
—
MN
Enumeration date
04/17/2021
Last updated
04/20/2021
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