Provider Demographics
NPI:1295243269
Name:THOMPSON, BRIANNA CHRISTINE (MBA, LAT,ATC)
Entity type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:CHRISTINE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MBA, LAT,ATC
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:CHRISTINE
Other - Last Name:ESTYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAT,ATC
Mailing Address - Street 1:9000 E NICHOLAS AVE
Mailing Address - Street 2:104
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:707-996-1735
Mailing Address - Fax:
Practice Address - Street 1:9000 E NICHOLAS AVE
Practice Address - Street 2:104
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:707-996-1735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20000304982255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer