Individual
LACEY KATELYN LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
429 LOGANVILLE HWY STE 110, WINDER, GA 30680-5630
(770) 318-8030
(770) 318-8031
Mailing address
2400 WISTERIA DR, SUITE A, SNELLVILLE, GA 30078-2689
(770) 982-0102
(770) 982-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011462
GA
Other
Enumeration date
07/02/2014
Last updated
11/15/2019
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