Individual
JON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
600 W SADDLE CREEK DR, CAMP VERDE, AZ 86322-4954
(928) 567-7529
Mailing address
600 W SADDLE CREEK DR, CAMP VERDE, AZ 86322-4954
(928) 567-7529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-07160
AZ
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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