Healthcare Provider Details

I. General information

NPI: 1093247397
Provider Name (Legal Business Name): THOMPSON TUTORING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 N ROSE ST SUITE 200
KALAMAZOO MI
49007-3860
US

IV. Provider business mailing address

251 N ROSE ST SUITE 200
KALAMAZOO MI
49007-3860
US

V. Phone/Fax

Practice location:
  • Phone: 269-329-0730
  • Fax:
Mailing address:
  • Phone: 269-329-0730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. COREY DANIEL THOMPSON
Title or Position: OWNER
Credential:
Phone: 269-329-0730