Individual
MELISSA DEEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
112 HUEY P. LONG FIELDHOUSE, BATON ROUGE, LA 70803-0001
(225) 578-7179
Mailing address
7536 LEW HOAD AVE, BATON ROUGE, LA 70810-1741
(225) 767-6888
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00376
LA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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