Individual
COLBY WAYNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14787 S ACADEMY PKWY, HERRIMAN, UT 84096-2077
(801) 935-4045
Mailing address
3283 W JORDAN LINE PKWY APT 223, WEST JORDAN, UT 84088-7965
(719) 469-1577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
12565346-4810
UT
Other
Enumeration date
12/03/2017
Last updated
05/11/2023
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