Lacey Anita Booth, PT, DPT
NPI #1457945057 in Lake City, South Carolina
Provider Information
- NPI Number
- 1457945057
- Entity Type
- Individual
- Name
- Lacey Anita Booth, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Feb 24, 2021
- Last Updated
- Feb 24, 2021
Practice Location
- Address
- 148 SAULS ST STE B
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-2677
- Phone
- (843) 374-0185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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