Individual
MR. NATHAN MICHAEL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S 2ND ST, LOUISVILLE, KY 40203-2399
(812) 605-1850
Mailing address
8470 N COUNTY ROAD 425 W, BRAZIL, IN 47834-7833
(812) 605-1850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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