Individual
MONICA THACKERAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 20TH ST S, GREAT FALLS, MT 59405-4934
(406) 262-4987
Mailing address
2725 4TH AVE S, GREAT FALLS, MT 59405-3134
(406) 262-4987
(406) 791-5994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MT
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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