KERRY THACKER (NPI# 1639582463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639582463 |
| Entity Type | Individual |
| Full Name | KERRY THACKER |
| Credential | LMP |
| Practice Address |
120 State Ave Ne #175 Olympia WA 98501-1131 |
| Practice Telephone | 3609516937 |
| Mailing Telephone | 3609516937 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | MA60404003 | WA | Other Service Providers |
| Street Address |
120 STATE AVE NE #175 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174643266 | Jill Meredith Joanis Casebolt | Counselor | 120 State Ave Ne, Olympia, WA 98501 | 2007-03-30 |
| 1306225131 | Anderson Mobile Health, Pllc | Nurse Practitioner | 120 State Ave Ne, #180, Olympia, WA 98501-1131 | 2015-05-26 |
| 1689897167 | Melissa Sara Jane Anderson | Nurse Practitioner | 120 State Ave Ne, #180, Olympia, WA 98501-1131 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528461472 | Melissa Seipel | Mechanotherapist | 3021 Kaiser Rd Nw, Olympia, WA 98502 | 2014-10-07 |
| 1619384682 | Suzanne Sheryl Sund | Mechanotherapist | 1728 State Ave. Ne, Olympia, WA 98506 | 2014-07-22 |
| 1801109319 | Merry Jayne Gravlin | Mechanotherapist | 12118 Waddell Creek Rd Sw, Olympia, WA 98512-5922 | 2010-07-26 |
| 1013233238 | Kaily Lynne Janette Smith | Mechanotherapist | 1601 State Ave Ne, Olympia, WA 98506-4554 | 2010-04-13 |
| 1962665158 | Dagmar Helma Growe | Mechanotherapist | 1307 25th Ct Ne, Olympia, WA 98506-3302 | 2008-07-08 |
| 1306065933 | Laurisa Ann Miller | Mechanotherapist | 3912 Martin Way, Suite B, Olympia, WA 98506 | 2007-04-24 |
| 1629142013 | Leslie Elenora Wyatt | Mechanotherapist | 2525 Log Cabin Rd Se, Olympia, WA 98501-4224 | 2006-11-20 |
| 1083059133 | Gregory D Hinkle | Mechanotherapist | 2401 Bristol Ct Sw, Olympia, WA 98502-6003 | 2013-05-02 |
| 1780920348 | Kristi Jo Bonk | Mechanotherapist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2012-12-28 |
| 1548498892 | Rebecca Patience Noble | Mechanotherapist | 541 Mcphee Rd Sw, Olympia, WA 98502 | 2009-06-25 |
| Find all providers in OLYMPIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.