Individual
JARED THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4531 COLUMBUS RD, CENTERBURG, OH 43011-9401
(740) 625-5401
Mailing address
16040 MURPHY RD, SUNBURY, OH 43074-9752
(740) 972-3024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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