Individual provider · Type 1 NPI

Mikel Thacker, PT

Physical Therapist · Russellville, AR

NPI number 1770197311 Active

Practice location

115 Skyline Dr Ste A
Russellville, AR 72802-3310

Call (479) 967-5155 Map

Mailing address

3325 Loetscher Cir
Conway, AR 72034-3503

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X4868 (AR)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1770197311

Mikel Thacker, PT's National Provider Identifier is 1770197311, issued on Sep 1, 2020. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Russellville, AR. The record was last updated on Sep 1, 2020.