LACEY MOODY

Physical Therapist

Active Individual
NPI: 1083025001

Practice Address

3964 GOODMAN RD E
SUITE 111
Southaven, MS 38672

Phone: (662) 890-6953

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes PT5426 (MS)

Frequently Asked Questions

NPI 1083025001 is the National Provider Identifier for LACEY MOODY, a Physical Therapist provider located in Southaven, MS. This NPI was enumerated on May 13, 2014.
LACEY MOODY practices at 3964 GOODMAN RD E, SUITE 111, Southaven, MS 38672.

Quick Facts

NPI
1083025001
Type
Individual
Enumerated
May 13, 2014
Last Updated
May 13, 2014

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