Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sky Blue Thacker, PT

Individual provider Physical Therapist · NPI 1134580616

Sky Blue Thacker, PT is a Physical Therapist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (435) 881-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1909 (ID)

Record details

NPI number1134580616
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 11, 2016
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address190 E Bannock St, Boise, ID 83712-6241

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