Individual
LEAH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 ROSS RD, DEL VALLE, TX 78617-3202
(512) 386-3261
Mailing address
5201 ROSS RD, DEL VALLE, TX 78617-3202
(812) 630-6122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4327
TX
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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