Melissa Dawn Thacker, P.T.

NPI #1720306145 in Altus, Oklahoma

Provider Information

NPI Number: 1720306145
Entity Type: Individual
Name: Melissa Dawn Thacker, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: May 10, 2010
Last Updated: Jul 11, 2013

Practice Location

Address: 301 E BROADWAY ST
City: Altus
State: Oklahoma
ZIP Code: 73521-5507
Phone: (405) 609-3675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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