Individual provider · Type 1 NPI
Lauretta A. Thompson
Massage Therapist · Fairfax, VA
NPI number
1619258746
Active
Practice location
8550 Arlington Blvd Suite 325, Roselle Center For Healing
Fairfax, VA 22031
Fax (703) 698-5729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019006433 (VA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1619258746
Lauretta A. Thompson's National Provider Identifier is 1619258746, issued on Sep 2, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fairfax, VA. The record was last updated on Sep 2, 2011.