Organization
SOPHIA COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA THOMPSON (CO-OWNER)
(812) 822-2592
Entity
Organization
Contact information
Practice address
619 N MORTON ST, BLOOMINGTON, IN 47404-4096
(812) 822-2592
Mailing address
619 N MORTON ST, BLOOMINGTON, IN 47404-4096
(812) 822-2592
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
06/11/2019
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