Thomas Allen
Individual provider Active NPI Athletic Trainer · Lexington, SC
NPI 1013387653 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1013387653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1878 (SC)
- Practice address
- 104 Saluda Pointe Dr
Lexington, SC 29072-7295 - Phone
- (803) 227-8000
- NPI assigned
- Sep 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1878 | SC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1878 | SC | Yes |
Addresses
Primary practice location
104 Saluda Pointe Dr
Lexington, SC 29072-7295
Mailing address
350 Powell Rd
Columbia, SC 29203-9364
Phone (704) 223-1626
Other providers in Lexington, SC
- All Smiles Dental
- Allcaregivers, Inc.
- Allegiance Home Care Inc
- Elizabeth Morgan Allen
- Stephanie Allen
- Allendale Rescue Squad
- Alexis Jayde Almeida
- Amal Alotaibi
- Alpha Mega Works, Inc
- Zack Daniel Altenberg
All providers in Lexington, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.