Individual
MS. CATHERINE CHRISTINE THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
115 W MAIN STREET, EATON, OH 45320
(937) 533-0803
Mailing address
PO BOX 61, PITSBURG, OH 45358-0061
(937) 533-0803
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33009381
OH
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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