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1518454321
KRISTYN THACKER WING
GULF SHORES, AL
NPI
1518454321
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Former Name
KRISTYN SHAYNE THACKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH9048)
Enumeration Date
2018-04-17
Last Update Date
2019-05-16
Business Address
KRISTYN THACKER WING PT, DPT
3947 GULF SHORES PKWY STE 260
GULF SHORES, AL 36542-2729
Phone number: 251-943-0803
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Mailing Address
KRISTYN THACKER WING PT, DPT
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-7217
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