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NPI Code Detail

MEDICARE: BONNIE THOMPSON LMT

MEDICARE: BONNIE THOMPSON LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistCO

General Provider Information

NPI Number : 1124231030
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE THOMPSON LMT
Provider Business Mailing Address
First Line : 2020 W COLORADO AVE
Second Line : STE 101
City : COLORADO SPRINGS
State : CO
Zip : 80904-3882
Country : US
Telephone Number : 719-634-0708
Fax Number : 719-634-2392
Provider Business Practice Location Address
First Line : 2020 W COLORADO AVE
Second Line : STE 101
City : COLORADO SPRINGS
State : CO
Zip : 80904-3882
Country : US
Telephone Number : 719-634-0708
Fax Number : 719-634-2392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ BONNIE THOMPSON LMT” Practice Location

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