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Elizabeth Thacker

NPI 1134953078 · on the registry since 2024

Practice

Address
80 Retail Commons Pkwy Ste 3
Martinsburg, WV 25403
Phone
(681) 252-9250
Organisation at this address
Professional Sportscare & Rehab Of West Virginia, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia