Provider Demographics
NPI:1033450085
Name:THOMPSON, STEVEN JAMES (LMT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:JAMES
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:JAMES
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:815 N 5TH ST APT 105
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-1993
Mailing Address - Country:US
Mailing Address - Phone:253-732-0977
Mailing Address - Fax:
Practice Address - Street 1:815 N 5TH ST APT 105
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-1993
Practice Address - Country:US
Practice Address - Phone:253-732-0977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP160033894225200000X
WAMA60714361225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant