Terarith Thay, LAC, ATC
Specialist/Technologist, Athletic Trainer in North Easton, MA. Individual provider (NPI-1).
NPI number1942851084
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1942851084
- Entity type
- Individual (NPI-1)
- Name
- Mr. Terarith Thay
- Credential
- LAC, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2019
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
320 Washington StNorth Easton, MA 02357-7800
Phone 508-565-1514
Mailing address
84 Sayles StLowell, MA 01851-1626
Phone 978-866-5342
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