IndividualActive
Ashley Thacker
NPI 1841783974 · Peer Specialist · Kennett, MO
Provider details
- NPI number
- 1841783974
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 15288 (MO)
Specialties & taxonomies
Other Service Providers
Practice location
925 State Route Vv
Kennett, MO 63857-3822
Phone: (573) 888-5925
Approximate (ZIP-level) locationGet directions
Mailing address
925 State Route Vv
Kennett, MO 63857-3822
Registry dates
- Enumerated
- 2018-06-13
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.