Kevin Lacke, DPT, CSCS

NPI #1114575529 in Bastrop, Texas

Provider Information

NPI Number
1114575529
Entity Type
Individual
Name
Kevin Lacke, DPT, CSCS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT, CSCS
Enumeration Date
Aug 28, 2019
Last Updated
Apr 30, 2021

Practice Location

Address
747 TEXAS 71 FRONTAGE RD
Address 2
SUITE B-200
State
Texas
ZIP Code
78602
Phone
(512) 920-6512

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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