MS. Jackie Renee Thatcher, O.T.R.

NPI #1033410873 in Cheyenne, Wyoming

Provider Information

NPI Number: 1033410873
Entity Type: Individual
Name: MS. Jackie Renee Thatcher, O.T.R.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.R.
Enumeration Date: Nov 10, 2010
Last Updated: Nov 10, 2010

Practice Location

Address: 4735 MAPLE WAY
City: Cheyenne
State: Wyoming
ZIP Code: 82009-5228
Phone: (307) 635-7605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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