ADAM THACKER

EDEN PRAIRIE, MN
NPI1386215648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  12320)
Enumeration Date2021-07-08
Last Update Date2021-07-08
Business Address
ADAM THACKER DPT
16550 W 78TH ST STE B
EDEN PRAIRIE, MN 55346-4316
Phone number: 952-873-7400
Mailing Address
ADAM THACKER DPT
7872 CENTURY BLVD
CHANHASSEN, MN 55317-8005
Phone number: 952-873-7400