Individual
KRISTIE J THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
1711 27TH ST, BRAUNLIN BUILDING, SUITE 403, PORTSMOUTH, OH 45662-2654
(740) 353-7881
(740) 355-8594
Mailing address
1735 27TH ST, WALLER BUILDING, SUITE B06, PORTSMOUTH, OH 45662-2677
(740) 356-8008
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-01284
OH
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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