IndividualActive
Adam Thacker, DPT
NPI 1386215648 · Physical Therapist · Burnsville, MN
Provider details
- NPI number
- 1386215648
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 12320 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1000 W 140th St Unit 201
Burnsville, MN 55337-4833
Phone: (952) 808-3000
Approximate (ZIP-level) locationGet directions
Mailing address
3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Registry dates
- Enumerated
- 2021-07-08
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.