MIKEL THACKER

RUSSELLVILLE, AR
NPI1770197311
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  4868)
Enumeration Date2020-09-01
Last Update Date2020-09-01
Business Address
DR. MIKEL THACKER PT
115 SKYLINE DR STE A
RUSSELLVILLE, AR 72802-3310
Phone number: 479-967-5155
Mailing Address
DR. MIKEL THACKER PT
3325 LOETSCHER CIR
CONWAY, AR 72034-3503
Phone number: 479-214-1234
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