Individual
JESSICA THIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1178 S SHADOW DR, MOUNT PLEASANT, SC 29464
(704) 960-3278
Mailing address
1178 S SHADOW DR, MOUNT PLEASANT, SC 29464
(704) 960-3278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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