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Individual
MR. SCOTT JAKE THOMPSON
Active
Individual
MR. SCOTT JAKE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1477
ND
225100000X
Physical Therapist
1477
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-6002491
TAX-ID
ND
Enumeration date
08/08/2006
Last updated
09/17/2025
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