Lacey Katelyn Lackey, DPT Valid NPI

Individual provider · Physical Therapist · Winder, GA

NPI

1780090506

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT011462 (GA)

Sex

Female

Sole proprietor

No

Enumerated

2014-07-02

Last updated

2019-11-15