Provider Demographics
NPI:1063643047
Name:THOMPSON, CHRISTIAN DEVEN (LMT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:DEVEN
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1161 MURFREESBORO RD
Mailing Address - Street 2:SUITE 348
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2222
Mailing Address - Country:US
Mailing Address - Phone:615-367-5212
Mailing Address - Fax:615-367-5212
Practice Address - Street 1:4908 N ELDRIDGE RD
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4230
Practice Address - Country:US
Practice Address - Phone:615-367-5212
Practice Address - Fax:615-367-5212
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN1389172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist