Lacy Marie Reeder, PTA
Physical Therapy Assistant in Watseka, IL. Individual provider (NPI-1).
NPI number1245575729
StatusActive
Last updated in NPPESDec 10, 2012
Details
- NPI
- 1245575729
- Entity type
- Individual (NPI-1)
- Name
- Lacy Marie Reeder
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2012
- Last updated
- Dec 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160.005441 | IL | Yes |
Practice location
1490 E Walnut StWatseka, IL 60970-1806
Phone 815-432-0250
Mailing address
1490 E Walnut StWatseka, IL 60970-1806
Phone 815-432-0250
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