Individual
MRS. JENNIFER KIMBERLY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, PES
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-6340
(815) 599-6748
Mailing address
1150 S GREENFIELD DR, FREEPORT, IL 61032-7104
(815) 599-6340
(815) 599-6748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002192
IL
Other
Enumeration date
12/15/2006
Last updated
07/09/2015
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