Provider Demographics
NPI:1336419340
Name:THOMPKINS, JAMIE SLIGH (PPT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:SLIGH
Last Name:THOMPKINS
Suffix:
Gender:F
Credentials:PPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WINCHESTER PL
Mailing Address - Street 2:SUITE 102B
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-1518
Mailing Address - Country:US
Mailing Address - Phone:864-576-7188
Mailing Address - Fax:
Practice Address - Street 1:2400 WINCHESTER PL
Practice Address - Street 2:SUITE 102B
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-1518
Practice Address - Country:US
Practice Address - Phone:864-576-7188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist