Misty Hacker

NPI #1912394891 in Sterling, Illinois

Provider Information

NPI Number: 1912394891
Entity Type: Individual
Name: Misty Hacker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 19, 2015
Last Updated: Apr 19, 2015

Practice Location

Address: 2310 SPRING ST
City: Sterling
State: Illinois
ZIP Code: 61081-3036
Phone: (563) 321-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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