Provider Demographics
NPI:1467599209
Name:THATCHER, ANNA E (PT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:E
Last Name:THATCHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4340 W CHANDLER BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-4972
Mailing Address - Country:US
Mailing Address - Phone:480-361-1127
Mailing Address - Fax:480-361-1842
Practice Address - Street 1:4340 W CHANDLER BLVD STE 3
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-4972
Practice Address - Country:US
Practice Address - Phone:480-361-1127
Practice Address - Fax:480-361-1842
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6359225100000X
AZ04782255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer