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1821123985
LISA THACKERY
OVERLAND PARK, KS
NPI
1821123985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-02908)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- LISA THACKERY MPT
10560 BARKLEY ST SUITE 330
OVERLAND PARK, KS 66212-1811
Phone number: 913-652-9229
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Mailing Address
-- LISA THACKERY MPT
5607 W 77TH TER
PRAIRIE VILLAGE, KS 66208-4730
Phone number: 913-341-7585
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