Individual
ROSS VERNON THORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 TIGER DR, MARSHALL, TX 75670-1412
(302) 530-8538
Mailing address
1 TIGER DR, MARSHALL, TX 75670-1412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1795144
DRIVERS LICENSE
DE
Enumeration date
08/06/2018
Last updated
08/06/2018
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