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PHILLIP LACKEY, ATC

ATC

Physical Therapy Assistant

NPI: 1619561313Individual

Specialties, Licenses & Credentials

Physical Therapy Assistant

Code: 225200000X

PTA4680(MS)PTA6336(AL)

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

AT0358(MS)2373(AL)

Contact & Hours

Address
1112 MS-25
AMORRY, MS 38821

Quick Facts

NPI
1619561313
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
4
Locations
1

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