Individual
SYDNEY T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
10106 DUPONT CIRCLE DR E, FORT WAYNE, IN 46825-1639
(260) 479-2720
Mailing address
4930 BUELL DR, FORT WAYNE, IN 46807-3270
(574) 721-9129
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003238A
IN
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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