Individual
JILLIAN MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
4410 TOKAY BLVD, MADISON, WI 53711-1437
(608) 513-5106
Mailing address
4410 TOKAY BLVD, MADISON, WI 53711-1437
(608) 513-5106
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
964-039
WI
Other
Enumeration date
08/30/2008
Last updated
08/30/2008
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