Individual
THOMAS MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12 BROOK ST, MEXICO, ME 04257-1612
(207) 357-2011
Mailing address
12 BROOK ST, MEXICO, ME 04257-1612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2018
Last updated
05/28/2019
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