NPI 1003171588

Cheryl M Thacker, LICENSEDMASSAGETHE

Practitioner Massage Therapist Atlantic Beach, FL

Practice location

Address: 531 Atlantic Boulevard STE 7, Atlantic Beach, FL 32233
Phone: (904) 305-4723
Mailing address: 1914 Mary St., Atlantic Bch, FL 32233-1988

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA25185 (FL)

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Registry record

NPI: 1003171588
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2012
Record last updated: 10 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.