Heather Leigh Thomas, ATC
Specialist/Technologist, Athletic Trainer in Fort Polk, LA. Individual provider (NPI-1).
NPI number1124773569
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1124773569
- Entity type
- Individual (NPI-1)
- Name
- Heather Leigh Thomas
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2022
- Certification date
- Feb 14, 2022
- Last updated
- Feb 15, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 320823 | LA | Yes |
Practice location
2030 14th St Bldg 1830Fort Polk, LA 71459-5302
Phone 559-908-5545
Mailing address
904 Marjorie StLong Beach, MS 39560-5349
Phone 228-313-1680
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All 9 Athletic Trainer providers in Fort Polk · All 267 providers in Fort Polk
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