Individual
DAKOTA JAMES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHA, LAT, ATC
Contact information
Practice address
45 COURTENAY DR, CHARLESTON, SC 29425-8917
(843) 792-5757
Mailing address
3220 HATCHET BAY DR APT 3412, CHARLESTON, SC 29414-5213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1398
SC
2255A2300X
Athletic Trainer
—
NC
Other
Enumeration date
01/17/2017
Last updated
10/31/2024
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