Individual
DESIREE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 CHESTER BLVD, RICHMOND, IN 47374-1235
(765) 983-3092
Mailing address
2212 PARKDALE DR, RICHMOND, IN 47374-1642
(812) 243-3913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002109A
IN
2255A2300X
Athletic Trainer
AT.004133
OH
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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