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MIKEL THACKER, PT
PT
Physical Therapist
NPI: 1770197311IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physical TherapistPrimary
Physical Therapist
Code: 225100000X
4868(AR)
CMS Specialties
PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 115 SKYLINE DR STE A
RUSSELLVILLE, AR 72802 - Phone
- (479) 967-5155
Quick Facts
- NPI
- 1770197311
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 6
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