LISA THOMPSON

SHELBYVILLE, IL
NPI1649715871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.007630)
Enumeration Date2016-12-26
Last Update Date2016-12-26
Business Address
-- LISA THOMPSON
1111 W NORTH 12TH ST
SHELBYVILLE, IL 62565-9554
Phone number: 217-774-2111
Mailing Address
-- LISA THOMPSON
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5202