Jillian Marie Thompson, ATC, LAT
Specialist/Technologist, Athletic Trainer in Madison, WI. Individual provider (NPI-1).
NPI number1760630933
StatusActive
Last updated in NPPESAug 30, 2008
Details
- NPI
- 1760630933
- Entity type
- Individual (NPI-1)
- Name
- Jillian Marie Thompson
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2008
- Last updated
- Aug 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 964-039 | WI | Yes |
Practice location
4410 Tokay BlvdMadison, WI 53711-1437
Phone 608-513-5106
Mailing address
4410 Tokay BlvdMadison, WI 53711-1437
Phone 608-513-5106
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All 98 Athletic Trainer providers in Madison · All 16,750 providers in Madison
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