# ALEXIS W LOCKYER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093720906
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4446 | SC | Yes |
| 225100000X | Physical Therapist | 9925 | TN | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 11/09/2015

## 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 |