BRIAN THACKER, DPT, OCS, SCS, COMT

Physical Therapist

Active Individual
NPI: 1376536243

Practice Address

17520 MERIDIAN E
STE F
Puyallup, WA 98375

Phone: (253) 864-7595

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes PT00007968 (WA)

Frequently Asked Questions

NPI 1376536243 is the National Provider Identifier for BRIAN THACKER, DPT, OCS, SCS, COMT, a Physical Therapist provider located in Puyallup, WA. This NPI was enumerated on August 25, 2005.
BRIAN THACKER, DPT, OCS, SCS, COMT practices at 17520 MERIDIAN E, STE F, Puyallup, WA 98375.

Quick Facts

NPI
1376536243
Type
Individual
Enumerated
Aug 25, 2005
Last Updated
May 21, 2013

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