Piero Martin Thol, ATC, LAT
Specialist/Technologist, Athletic Trainer in Louisville, KY. Individual provider (NPI-1).
NPI number1962087601
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1962087601
- Entity type
- Individual (NPI-1)
- Name
- Piero Martin Thol
- Credential
- ATC, LAT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2021
- Certification date
- Sep 29, 2021
- Last updated
- Jul 19, 2023
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 | AT2030 | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
801 Edith RdLouisville, KY 40206-2280
Phone 270-709-2497
Mailing address
225 Crystal View CtMount Washington, KY 40047-6498
Phone 270-709-2497
Other practice locations
2400 Eastpoint Pkwy
Louisville, KY 40223-4154
Louisville, KY 40223-4154
Phone 502-253-6699
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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