Provider Demographics
NPI:1386871044
Name:THOMPSON, SAUNDRA ELIZABETH (LMT)
Entity type:Individual
Prefix:MS
First Name:SAUNDRA
Middle Name:ELIZABETH
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17 UNDERHILL ST
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3413
Mailing Address - Country:US
Mailing Address - Phone:914-391-1686
Mailing Address - Fax:914-961-3235
Practice Address - Street 1:17 UNDERHILL ST
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-3413
Practice Address - Country:US
Practice Address - Phone:914-391-1686
Practice Address - Fax:914-961-3235
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021710-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist