Lacey Simpson, PTA

NPI #1124581012 in Robinson, Illinois

Provider Information

NPI Number: 1124581012
Entity Type: Individual
Name: Lacey Simpson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 9, 2019
Last Updated: Apr 9, 2019

Practice Location

Address: 1000 N ALLEN ST
City: Robinson
State: Illinois
ZIP Code: 62454-1114
Phone: (618) 546-2695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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