Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thomas Wayne Holton, MSSAT, C

Individual provider Athletic Trainer · NPI 1154420164

Mr. Thomas Wayne Holton, MSSAT, C is an Athletic Trainer in Willimantic, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2006

Practice location Address checks out

83 Windham St
Willimantic, CT 06226-2211
Phone: (860) 465-5171
Fax: (860) 465-4696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 255A2300X (CT)

Record details

NPI number1154420164
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSAT , C
Sole proprietorYes
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJuly 8, 2007

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