Marcella Alice Thompson, | |
5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 | |
(502) 356-2815 | |
Not Available |
Full Name | Marcella Alice Thompson |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 5516 Overbrook Woods Pl Apt 103, Louisville, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396371860 | NPI | - | NPPES |
0157786384 | Other | KY | CBI -COMMUNITY BUSINESS IDENTIFIER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 248360 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Marcella Alice Thompson, 5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 Ph: (502) 356-2815 | Marcella Alice Thompson, 5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 Ph: (502) 356-2815 |
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