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Search › Arkansas › 225100000X

Mikel Thacker, PT

NPI 1770197311 · on the registry since 2020 · sole proprietor

Practice

Address
115 Skyline Dr Ste A
Russellville, AR 72802
Phone
(479) 967-5155
Organisation at this address
Jones Townsend Clinic Inc
Coulter Physical Therapy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-01

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 Arkansas