Individual
LACIE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
721 DUNAWAY LN, AZLE, TX 76020-2605
(817) 444-2536
Mailing address
8612 GUADALUPE RD, FORT WORTH, TX 76116-6702
(682) 556-9556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2136356
TX
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us