Individual
JOHN ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, ATC, FMS
Contact information
Practice address
2476 PLANTERS RD, LAWRENCEVILLE, VA 23868-3229
(434) 594-7359
Mailing address
2476 PLANTERS RD, LAWRENCEVILLE, VA 23868-3229
(434) 594-7359
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
07/13/2020
Last updated
05/20/2021
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