Kristie J Thacker M.S., CCC-A

NPI 1780820597 - Audiologist - 231H00000X

NPI Details
NPI 1780820597
Gender Female
Enumeration Date 12/29/2008
Last Updated 12/29/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
1711 27TH ST
BRAUNLIN BUILDING, SUITE 403
PORTSMOUTH OH, 45662-2654, US
Phone (740) 353-7881
Fax (740) 355-8594
Business Location
1735 27TH ST
WALLER BUILDING, SUITE B06
PORTSMOUTH OH, 45662-2677, US
Phone (740) 356-8008
Fax (740) 353-7900
Toxanomy
Taxonomy Code 231H00000X
License State Ohio
License Number A-01284
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According to our database, Kristie J Thacker M.S., CCC-A NPI is 1780820597, taxonomy code is 231H00000X and license number is A-01284, license state is located at Ohio. Kristie J Thacker M.S., CCC-A physically located at 1711 27th St, Portsmouth OH, 45662-2654. NPI Number Kristie J Thacker M.S., CCC-A has the Individual type.

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1780820597 NPI number is provided on an as is basis without warranty of any kind. 1780820597 is maintained by the National Plan & Provider Enumeration System. The contents of Kristie J Thacker M.S., CCC-A are for informational purposes only.