Lacey Katelyn Lackey DPT

NPI 1780090506 - Physical Therapist - 225100000X

NPI Details
NPI 1780090506
Gender Female
Enumeration Date 07/02/2014
Last Updated 07/02/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1735 BUFORD HWY
SUITE 310
CUMMING GA, 30041-1266, US
Phone (770) 887-0502
Fax (770) 887-0054
Business Location
2400 WISTERIA DR
SUITE A
SNELLVILLE GA, 30078-2689, US
Phone (770) 982-0102
Fax (770) 982-0130
Toxanomy
Taxonomy Code 225100000X
License State Georgia
License Number PT011462
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According to our database, Lacey Katelyn Lackey DPT NPI is 1780090506, taxonomy code is 225100000X and license number is PT011462, license state is located at Georgia. Lacey Katelyn Lackey DPT physically located at 1735 Buford Hwy, Cumming GA, 30041-1266. NPI Number Lacey Katelyn Lackey DPT has the Individual type.

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1780090506 NPI number is provided on an as is basis without warranty of any kind. 1780090506 is maintained by the National Plan & Provider Enumeration System. The contents of Lacey Katelyn Lackey DPT are for informational purposes only.