Stacy Thacker
Stacy Thacker is a Case Manager/Care Coordinator in Riverside, California. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3625 14th StRiverside, CA 92501-3815
Phone: (951) 955-1540
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1497593826 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | July 18, 2024 |
| Last updated in NPPES | March 31, 2025 |
| Certification date | March 31, 2025 |
| Mailing address | 3625 14th St, Riverside, CA 92501-3815 |
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