MR. Edward Brent Thompson, ATC
NPI #1336117795 in Carbondale, Illinois
Provider Information
- NPI Number
- 1336117795
- Entity Type
- Individual
- Name
- MR. Edward Brent Thompson, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- INTERCOLLEGIATE ATHLETICS, SIU ARENA, RM. 118
- Address 2
- SOUTHERN ILLINOIS UNIVERSITY
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-6620
- Phone
- (618) 453-5161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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