Brian A. Thacker, DPT, OCS, SCS, COMT

Physical Therapist · Puyallup, WA

Individual Active NPI

NPI number 1376536243

Practice location

17520 Meridian E
Ste F
Puyallup, WA 98375-6265
Phone
(253) 864-7595
Fax
(253) 864-0457

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NPI record

NPI
1376536243
Entity type
Individual (Type 1)
Enumeration date
August 25, 2005
Last updated
May 21, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT00007968 WA

Mailing address

PO Box 24283
Seattle, WA 98124-0283
Phone
(253) 581-5200
Fax
(253) 581-5203

About Dr. Thacker

Brian A. Thacker, DPT, OCS, SCS, COMT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 17520 Meridian E, Ste F, Puyallup, WA 98375-6265. The NPI number 1376536243 was assigned on August 25, 2005 and the record was last updated on May 21, 2013.

Dr. Thacker lists a license in the registry: #PT00007968 (WA) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian A. Thacker, DPT, OCS, SCS, COMT?

The NPI number is 1376536243.

What is the phone number of Dr. Thacker?

The phone number listed for the practice location is (253) 864-7595.

Where is Dr. Thacker located?

17520 Meridian E, Ste F, Puyallup, WA 98375-6265.

What is the taxonomy code for Dr. Thacker?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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