Search › Virginia › 171100000X
John Thacker, LAC, CMTPT
NPI 1891234712 · on the registry since 2017 · sole proprietor
Practice
- Address
- 508 S Main St
Suite B
Blacksburg, VA 24060 - Phone
- (540) 315-9763
- Fax
- (540) 605-7311
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia