Individual
MR. JOHN STEPHEN THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, CMTPT
Contact information
Practice address
508 S MAIN ST, SUITE B, BLACKSBURG, VA 24060-4863
(540) 315-9763
(540) 605-7311
Mailing address
508 S MAIN ST, SUITE B, BLACKSBURG, VA 24060-4863
(540) 315-9763
(540) 605-7311
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000432
VA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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