NATALIE MARIE THACKER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008611

License Status

ACTIVE

Business

First Name

NATALIE

Middle

MARIE

Last Name

THACKER

Business Name

NATALIE MARIE THACKER

Original Issue Date

07/29/2019

Effective Date

08/07/2025

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

08/07/2025