Individual
MS. TYANN C THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
925 FRANKLIN ST SE, SUITE A, HUNTSVILLE, AL 35801-4302
(256) 265-5000
(256) 265-7020
Mailing address
24787 BLOSSOM LN, ATHENS, AL 35613-6660
(256) 975-1789
(256) 265-7020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1520
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120602631
ATC
IN
Enumeration date
01/08/2007
Last updated
12/03/2014
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