=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154288934
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | REBECCA LEIGH THOMPSON LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2026
-----------------------------------------------------
Last Update Date | 01/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 320 N TOWER AVE STE 102
-----------------------------------------------------
City | CENTRALIA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98531-4355
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-291-7925
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 116 HILLCREST DR
-----------------------------------------------------
City | ELMA
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98541-9338
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-291-7925
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MASS.MA.70062997
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------