Individual
MR. JASON DAVID LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSR, OTR-L, ATP
Contact information
Practice address
74 GLASS MILL POINTE DR, CHICKAMAUGA, GA 30707-3478
(706) 375-3050
Mailing address
74 GLASS MILL POINTE DR, CHICKAMAUGA, GA 30707-3478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT2656
OT STATE LICENSE
TN
01
—
OT3322
OT STATE LICENSE
GA
Enumeration date
01/08/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us