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Dr. Rachael Nichole Lacey, PT

Physical Therapist in Lagrange, GA. Individual provider (NPI-1).

NPI number1801407366
StatusActive
Last updated in NPPESAug 10, 2020

Details

NPI
1801407366
Entity type
Individual (NPI-1)
Name
Dr. Rachael Nichole Lacey
Credential
PT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2020
Certification date
Aug 10, 2020
Last updated
Aug 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT014851GAYes

Practice location

1805 Vernon Rd Ste A
Lagrange, GA 30240-3871

Phone 706-845-9383

Mailing address

124 Walden Chase Ln
Columbus, GA 31909-1762

Phone 843-864-8360

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