Individual
AMBER NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
214 E MAIN ST, SENATOBIA, MS 38668-2140
(662) 560-0602
(662) 560-0603
Mailing address
214 E MAIN ST, SENATOBIA, MS 38668-2140
(662) 560-0602
(662) 560-0603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0735
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT0735
ATHLETIC TRAINER
MS
Enumeration date
02/19/2015
Last updated
02/19/2015
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