Individual
LACEY J SINNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2455 SW STATE ST, ANKENY, IA 50023-1277
(515) 963-4528
Mailing address
2455 SW STATE ST, ANKENY, IA 50023-1277
(515) 963-4528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010842A
IN
225100000X
Physical Therapist
Primary
CP033196T
IA
225100000X
Physical Therapist
PT872523
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05010842A
INDIANA PHYSICAL THERAPY LICENSE
IN
Enumeration date
07/13/2012
Last updated
11/15/2024
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