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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDWARD BRENT THOMPSON, ATC

Active

MR. EDWARD BRENT THOMPSON, ATC is a Athletic Trainer healthcare provider located in CARBONDALE, Illinois. NPI 1336117795 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · CARBONDALE, IL

Registration Details

NPI Number
1336117795
Provider Type
Individual
Gender
Male
NPI Issued
Mar 10, 2006 (20.391559710902 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
INTERCOLLEGIATE ATHLETICS, SIU ARENA, RM. 118
SOUTHERN ILLINOIS UNIVERSITY
CARBONDALE, IL, 629016620
Browse IL providers · Browse ZIP 62901
Phone
6184535161
Fax
6184534173
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in CARBONDALE, IL

Name Credential NPI
MR. DONALD L HOWARD ATC, PTA 1588630594
MR. BRADLEY C. BRUSH A.T.C., C.S.C.S. 1013985613
MS. DEBRA KAY FITZL ATC, LAT 1306806401
MS. ELIZABETH BROWN FEUTZ ATC, LAT,CSCS 1619937612
JOHN E MASSIE ATC, LAT 1043346372
TRACY ANN DAUGHERTY MS, ATC, PTA 1427174226
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.