NPI 1457406597

Lora Elisabeth Thompson, ATC

Practitioner Athletic Trainer Nampa, ID

Practice location

Address: 301 S. Happy Valley Road, Nampa, ID 83687
Phone: (208) 468-4601
Mailing address: 2751 Duane Dr, Meridian, ID 83642-5807

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-287 (ID)

Other Specialist/Technologist providers in Idaho →

Registry record

NPI: 1457406597
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jan 2007
Record last updated: 8 Jul 2007

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.