Individual
DYLAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 VICTORY LN, MAUMELLE, AR 72113-7631
(501) 628-7119
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 628-7119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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