Individual
MR. KEITH ERIC THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
7536 LEW HOAD AVE, BATON ROUGE, LA 70810-1741
(225) 767-6888
Mailing address
7536 LEW HOAD AVE, BATON ROUGE, LA 70810-1741
(225) 767-6888
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00358
LA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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