Individual
MISTI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 29TH ST NE, CEDAR RAPIDS, IA 52402-3452
(319) 362-6994
Mailing address
1825 29TH ST NE, CEDAR RAPIDS, IA 52402-3452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
074472
IA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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