Individual
AUSTIN THOMAS LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT, ATC, AEMT
Contact information
Practice address
7677 YANKEE ST, SUITE 110, CENTERVILLE, OH 45459-3475
(937) 401-6400
Mailing address
7677 YANKEE ST, CENTERVILLE, OH 45459-3475
(937) 401-6400
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
179383
OH
2255A2300X
Athletic Trainer
Primary
0037475298
OH
Other
Enumeration date
11/11/2014
Last updated
10/06/2025
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