IndividualActive
Bryan Thompson, CPT
NPI 1164967394 · Athletic Trainer · Peoria, AZ
Provider details
- NPI number
- 1164967394
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 71212 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8819 W Echo Ln
Peoria, AZ 85345-7834
Phone: (623) 877-9305
Approximate (ZIP-level) locationGet directions
Mailing address
8819 W Echo Ln
Peoria, AZ 85345-7834
Registry dates
- Enumerated
- 2016-12-26
- Last updated
- 2016-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.