Provider Demographics
NPI:1952363673
Name:MONAGAN, THOMAS M JR (ATC)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:M
Last Name:MONAGAN
Suffix:JR
Gender:M
Credentials:ATC
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Mailing Address - Street 1:3430 IRBY DR.
Mailing Address - Street 2:APT. 312
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-7313
Mailing Address - Country:US
Mailing Address - Phone:814-490-2757
Mailing Address - Fax:501-450-5087
Practice Address - Street 1:201 DONAGHEY
Practice Address - Street 2:DEPARTMENT OF ATHLETICS - UNIV OF CENTRAL ARKANSAS
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034
Practice Address - Country:US
Practice Address - Phone:501-852-7749
Practice Address - Fax:501-450-5087
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer