Individual
LACEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5349 ADAMS AVE PKWY STE A, OGDEN, UT 84405-4736
(801) 479-9865
(801) 479-5846
Mailing address
1702 E 5600 S, OGDEN, UT 84403-4384
(801) 689-2546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11327525-2401
UT
Other
Enumeration date
06/25/2019
Last updated
08/02/2019
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