Individual
MR. THOMAS STICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CSCS
Contact information
Practice address
157 GALE LEMERAND DR, GAINESVILLE, FL 32611-2051
(352) 692-6401
Mailing address
1505 FORT CLARKE BLVD, #13202, GAINESVILLE, FL 32606-7182
(352) 514-0773
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3675
FL
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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