Individual
MS. DESHENA D. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MS
Contact information
Practice address
17527 JORDAN STREET, CHATOM, AL 36518
(251) 847-3955
(251) 847-3988
Mailing address
391 SADIE LOOP, LUCEDALE, MS 39452-1962
(251) 463-5052
(251) 847-3988
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
783
AL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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