Individual
STACY MICHELLE LOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5050 LINCOLN AVE, EVANSVILLE, IN 47715-7390
(812) 461-1896
Mailing address
4177 COURTLAND DR, NEWBURGH, IN 47630-2293
(181) 230-5555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002923A
IN
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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