Individual
LACIE WINDSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1492 TINY TOWN RD STE A1A2, CLARKSVILLE, TN 37042-7873
(615) 758-1030
Mailing address
1537 EDGEWATER LN, CLARKSVILLE, TN 37043-3667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16126
TN
225100000X
Physical Therapist
Primary
PT43294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JZKXZ9581251
BLUECROSS BLUESHIELD
MN
Enumeration date
12/23/2016
Last updated
07/11/2025
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