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Individual
ALEXIS W LOCKYER
Active
Individual
ALEXIS W LOCKYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4446
SC
225100000X
Physical Therapist
9925
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354105600
DEPT. OF LABOR NUMBER
SC
01
—
650026189
MEDICARE RAILROAD NUMBER
SC
01
—
7796338
AETNA
SC
01
—
943423122
PROVIDER NUMBER
SC
01
—
C5655
MEDCOST NUMBER
SC
Enumeration date
07/29/2006
Last updated
11/09/2015
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