Most Relevant Information
Provider Data
| NPI Number: | 1003079948 |
| Provider Name: | MORIS ANN THOMPSON PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A00746 |
Most Important Dates
| Enumeration Date: | 07/09/2008 |
| Last Updated: | 07/09/2008 |
Provider Practice Location
401 INDIANA AVE
MAYFIELD
KY
420661799
Practice Location Phone/Fax
| Phone: | 2702476537 |
| Fax: |
Provider Mailing Location
401 INDIANA AVE
MAYFIELD
KY
420661799
Provider Mailing Phone/Fax
| Phone: | 2702476537 |
| Fax: |