Individual
MR. NICHOLAS JAY THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
30 CHASE AVE, WATERVILLE, ME 04901-4624
(207) 872-4223
Mailing address
PO BOX 791, WATERVILLE, ME 04903-0791
(207) 877-9962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT220
ME
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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