Individual
STEPHANIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT CNMT
Contact information
Practice address
5480 TOMAH DR LOWR LEVEL, COLORADO SPRINGS, CO 80918-1928
(719) 396-2839
Mailing address
6143 SIERRA GRANDE PT, COLORADO SPRINGS, CO 80923-3881
(719) 258-7381
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0021723
CO
Other
Enumeration date
09/26/2018
Last updated
02/05/2020
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