Individual
LACEY CHANTELLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W UNION ST, MACON, MO 63552-1552
(660) 346-1993
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(800) 381-0822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013003950
MO
Other
Enumeration date
07/26/2022
Last updated
11/26/2025
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