(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003473182
Provider Name: ELISABETH THATCHER PTA
Entity Type: Individual
Taxonomy Code: 225200000X
Specialty: Physical Therapy Assistant
License Number: 60839352
Most Important Dates
Enumeration Date: 05/23/2019
Last Updated: 05/23/2019
Provider Practice Location
70 SW CENTURY DR STE 100
BEND
OR
977023558
Practice Location Phone/Fax
Phone: 8089904823
Fax:
Provider Mailing Location
74-5065 PALANI RD UNIT A
KAILUA KONA
HI
967408118
Provider Mailing Phone/Fax
Phone: 8089904823
Fax: