Individual
MICHAEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CES, LAT, ATC
Contact information
Practice address
3339 VIRGINIA ST APT 138, COCONUT GROVE, FL 33133-6028
(260) 602-3009
Mailing address
3339 VIRGINIA ST APT 138, COCONUT GROVE, FL 33133-6028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3479
FL
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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