LACEY POWELL PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1407510480- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 775 CHICKASAW DR, MADISONVILLE, KY, 424313903
- Phone
- (270) 584-4482
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: KY #A03771