MEDICARE: MS. LINDA L THOMPSON B.S., L.M.T

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
1	173C00000X	Reflexologist	MASSAGE 012876	NY

General Provider Information

NPI Number	:	1467609024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA L THOMPSON B.S., L.M.T

Provider Business Mailing Address
First Line	:	117A EASTERN AVE
Second Line	:
City	:	BALLSTON SPA
State	:	NY
Zip	:	12020-1822
Country	:	US
Telephone Number	:	518-885-3707
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 CLINTON ST
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2143
Country	:	US
Telephone Number	:	518-466-1075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2008
Last Update Date	:	08/25/2008

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