NPI 1104276138

James Kevin Thomas, ATC

Practitioner Athletic Trainer Goose Creek, SC

Practice location

Address: 109 Goose Creek Dr, Goose Creek, SC 29445-3224
Phone: (843) 530-0400

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1658 (SC)

Other Specialist/Technologist providers in South Carolina →

Registry record

NPI: 1104276138
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2016
Record last updated: 21 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.