Individual
LACEY NORDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15614 HUEBNER RD, SUITE 115, SAN ANTONIO, TX 78248-0992
(210) 647-9970
(610) 647-7229
Mailing address
15614 HUEBNER RD, SUITE 115, SAN ANTONIO, TX 78248-0992
(210) 647-9970
(610) 647-7229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2126630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126630
TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
TX
Enumeration date
03/09/2017
Last updated
03/09/2017
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