NPI 1639582463

Kerry Thacker, LMP

Practitioner Mechanotherapist Olympia, WA

Practice location

Address: 120 State Ave NE #175, Olympia, WA 98501-1131
Phone: (360) 951-6937

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA60404003 (WA)

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Registry record

NPI: 1639582463
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2014
Record last updated: 10 Jun 2014

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.