Individual
LACEY KATHERINE HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
28977 WALKER RD S STE G, WALKER, LA 70785-6049
(225) 271-8056
Mailing address
5710 HIDDEN RIDGE LN, BATON ROUGE, LA 70816-6364
(225) 931-5064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07606
LA
Other
Enumeration date
09/02/2009
Last updated
04/11/2018
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