MRS. Kristen A Thacker, MSED, LAT, ATC
NPI #1497196018 in Camp Lejeune, North Carolina
Provider Information
- NPI Number
- 1497196018
- Entity Type
- Individual
- Name
- MRS. Kristen A Thacker, MSED, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MSED, LAT, ATC
- Enumeration Date
- Jul 11, 2013
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 100 BREWSTER BLVD
- City
- Camp Lejeune
- State
- North Carolina
- ZIP Code
- 28547-2575
- Phone
- (910) 547-0379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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| MR. Leslie John Mitkos III, ATC | |
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