Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICAH THATCHER
ActiveStudent (Health Education/Training) · SUGAR CITY, ID
Registration Details
- NPI Number
- 1407629876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2023 (2.5053986171638 yrs)
- Last Updated
- Nov 6, 2023
Practice Information
- Address
-
2 N 3000 ESUGAR CITY, ID, 834481220Browse ID providers · Browse ZIP 83448
- Phone
- 2083516081
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.