EDWARD BRENT THOMPSON

CARBONDALE, IL
NPI1336117795
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2006-03-10
Last Update Date2007-07-08
Business Address
MR. EDWARD BRENT THOMPSON ATC
INTERCOLLEGIATE ATHLETICS, SIU ARENA, RM. 118 SOUTHERN ILLINOIS UNIVERSITY
CARBONDALE, IL 62901-6620
Phone number: 618-453-5161
Mailing Address
MR. EDWARD BRENT THOMPSON ATC
1005 MEADOWLARK DR
CARTERVILLE, IL 62918-1619
Phone number: 618-985-2025