Search › Washington › Physical Therapist
Brian Thacker, DPT, OCS, SCS, COMT
NPI 1376536243 · on the registry since 2005
Practice
- Address
- 17520 Meridian E
Ste F
Puyallup, WA 98375 - Phone
- (253) 864-7595
- Fax
- (253) 864-0457
- Organisation at this address
- Olympic Sports And Spine Rehabilitation, P.S.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-05-21
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 Washington