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Individual

MR. MICHAEL RYAN THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT, ATC, CSCS

Contact information

Practice address
931 BOSTON RD, HAVERHILL, MA 01835-6927
(978) 373-1596
Mailing address
62 MORGAN DR, EPPING, NH 03042-2542
(207) 735-7432

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0446
NH

Other

Enumeration date
09/27/2016
Last updated
09/27/2016
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