MR. Jay Chenoweth Thompson JR., MED, ATC, LAT

NPI #1902863897 in Leesburg, Florida

Provider Information

NPI Number
1902863897
Entity Type
Individual
Name
MR. Jay Chenoweth Thompson JR., MED, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MED, ATC, LAT
Enumeration Date
Apr 26, 2006
Last Updated
Apr 28, 2008

Practice Location

Address
1401 W MEADOWS AVE
State
Florida
ZIP Code
34748-5643
Phone
(352) 787-5047

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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