LACEY SLADE, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1932766052
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | PTA-6147 (ID) |
Frequently Asked Questions
NPI 1932766052 is the National Provider Identifier for LACEY SLADE, PTA, a Physical Therapy Assistant provider located in Jerome, ID. This NPI was enumerated on May 23, 2019.
LACEY SLADE, PTA practices at 128 5TH AVE W, Jerome, ID 83338.
Quick Facts
- NPI
- 1932766052
- Type
- Individual
- Enumerated
- May 23, 2019
- Last Updated
- May 23, 2019
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