Individual
MENDE R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
299 COOPER RD STE B, LOGANVILLE, GA 30052-2579
(770) 217-4336
Mailing address
175 SHADOWBROOK DR, COVINGTON, GA 30016-7754
(678) 939-3045
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT001213
GA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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