Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN LACKE, DPT, CSCS
ActiveKEVIN LACKE, DPT, CSCS is a Physical Therapy Assistant healthcare provider located in BASTROP, Texas. NPI 1114575529 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BASTROP, TX
Registration Details
- NPI Number
- 1114575529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2019 (6.7796348361231 yrs)
- Last Updated
- Apr 30, 2021
- License
-
1322490 (TX)
Practice Information
- Address
-
747 TEXAS 71 FRONTAGE RDSUITE B-200BASTROP, TX, 78602Browse TX providers · Browse ZIP 78602
- Phone
- 5129206512
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BASTROP, TX
| Name | Credential | NPI |
|---|---|---|
| MR. RYAN CHRISTOPHER BLISS | PT | 1699706085 |
| MR. TIMOTHY ANDERSON GARNER JR. | LPT | 1922119874 |
| SCOTT MICHAEL RILEY | MSPT | 1336243484 |
| NATHAN JOHN BREWERTON | LPT | 1710149232 |
| ASHLEY NICOLE WARREN | PT | 1205182052 |
| SUPRIYA N PATIL | — | 1316287659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.