NPI | 1740608702 |
---|---|
Former Name | PIPER L. THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0000610) |
Enumeration Date | 2014-04-06 |
Last Update Date | 2017-09-20 |