Individual
LACEY RENEE SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
117 N MAIN ST, SAND SPRINGS, OK 74063-7602
(918) 308-9847
Mailing address
1211 NEW PRUE RD, SAND SPRINGS, OK 74063-9024
(918) 308-9847
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3553
OK
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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