Provider Demographics
NPI:1659503324
Name:THATCHER, LINDA CAROL (CMT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:CAROL
Last Name:THATCHER
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15586 W COUNTY ROAD B
Mailing Address - Street 2:PO BOX 544
Mailing Address - City:HAYWARD
Mailing Address - State:WI
Mailing Address - Zip Code:54843-2665
Mailing Address - Country:US
Mailing Address - Phone:715-634-0053
Mailing Address - Fax:
Practice Address - Street 1:15586 W COUNTY ROAD B
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:WI
Practice Address - Zip Code:54843-2665
Practice Address - Country:US
Practice Address - Phone:715-634-0053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other