Brian A Thacker in Puyallup - Physical Therapist
Brian A Thacker - NPI 1376536243
Brian A Thacker is a Physical Therapist in Puyallup, Washington. Brian A Thacker practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brian A Thacker is 1376536243. The last update date is 2013-05-21.
Brian A Thacker's current location address is 17520 Meridian E, Puyallup, Washington. You can contact this provider via phone number 2538647595 and fax number 2538640457. The mailing address for Brian A Thacker is 17520 Meridian E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian A Thacker |
|---|---|
| Address | 17520 Meridian E, Puyallup, Washington |
| Phone Number | 2538647595 |
| Fax Number | 2538640457 |
| Sole Proprietor | N |
| Credentials | DPT, OCS, |
NPI Number Detail
| NPI Number | 1376536243 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2013-05-21 |
Provider Mailing Address Detail
| Address | 17520 Meridian E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983756265 |
| Phone Number | 2538647595 |
| Fax Number | 2538640457 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT00007968 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 306726 | WA | L&I PROVIDER ID | |
| 7092208 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian A Thacker by the Centers for Medicare & Medicaid Services (CMS)?
The Brian A Thacker has been assigned the NPI (National Provider Identifier) 1376536243. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Brian A Thacker is physically located?
The Brian A Thacker is situated at the following address: 17520 Meridian E, Puyallup, WA 983756265.
What is Brian A Thacker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brian A Thacker is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376536243 to Brian A Thacker?
The Centers for Medicare & Medicaid Services originally issued the 1376536243 to Brian A Thacker on 2005-08-25.
As of what date were the details pertaining to Brian A Thacker last refreshed?
The information related to the Brian A Thacker, including its address, specialty, and other relevant details, was last updated on 2013-05-21.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN