Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY S ROSE
Active Sole ProprietorLACEY S ROSE is a Physical Therapy Assistant healthcare provider located in GRENADA, Mississippi. NPI 1336478791 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GRENADA, MS
Registration Details
- NPI Number
- 1336478791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2009 (16.638407687448 yrs)
- Last Updated
- Dec 15, 2009
- License
-
PT2435 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1966 HILL DRGRENADA, MS, 389015047Browse MS providers · Browse ZIP 38901
- Phone
- 6622262442
- Fax
- 6622269567
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GRENADA, MS
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES EDWARD HILL II | B.S.PHYSICAL THERAPY | 1225200280 |
| MR. WALLACE EDGAR CRESSWELL | P.T. | 1740574532 |
| BENJAMIN CLAYTON EDWARDS | DPT | 1356628622 |
| MR. RANDY YOUNG JR. | PT,DPT | 1346638665 |
| MRS. AMY WILSON MCCARLEY | PT DPT | 1548765548 |
| RONALD J OKABE | PT | 1447715446 |
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.