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Derek Thompson, PTA
NPI 1962717017 · on the registry since 2010
Practice
- Address
- 200 Mulbery Street Suite C
Booneville, KY 41313 - Phone
- (606) 593-6003
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky