Individual
PATRICK D THOMPSON
Active
Individual
PATRICK D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003115
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000710956
ANTHEM
KY
01
—
201022440
MEDICAID INDIANA
KY
01
—
50033295
PASSPORT ADVANTAGE
KY
01
—
5637659
AETNA
KY
05
—
7100161720
—
KY
Enumeration date
08/30/2006
Last updated
11/03/2011
Update your record
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