Individual
DAMARA LACKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, CLT-LANA, CCI
Contact information
Practice address
106 CROSSING DRIVE, WILDER, KY 41076
(859) 572-2360
(859) 441-1371
Mailing address
106 CROSSING DRIVE, WILDER, KY 41076
(859) 572-2360
(859) 441-1371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003986
KY
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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