MS. Cheryl M Thacker, LICENSED MASSAGE THE

NPI #1003171588 in Atlantic Beach, Florida

Provider Information

NPI Number: 1003171588
Entity Type: Individual
Name: MS. Cheryl M Thacker, LICENSED MASSAGE THE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LICENSED MASSAGE THE
Enumeration Date: Jul 10, 2012
Last Updated: Jul 10, 2012

Practice Location

Address: 531 ATLANTIC BOULEVARD
Address 2: STE 7
City: Atlantic Beach
State: Florida
ZIP Code: 32233
Phone: (904) 305-4723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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