Individual
TAYLOR RAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 VERMILLION ST, ATHENS, WV 24712-9027
(801) 837-0262
Mailing address
PO BOX 1000, ATHENS, WV 24712-1000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001692
WV
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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