Provider Demographics
NPI:1760929301
Name:THOMPSON, STEPHANIE POST (ATC, LAT, MAT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:POST
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:ATC, LAT, MAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 INDEPENDENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-2174
Mailing Address - Country:US
Mailing Address - Phone:830-570-6806
Mailing Address - Fax:
Practice Address - Street 1:2101 MUSTANG DR
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4414
Practice Address - Country:US
Practice Address - Phone:830-798-3644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT59242255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer