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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAITLIN LACKEY

Active

KAITLIN LACKEY is a Pediatric Occupational Therapist healthcare provider located in TYRONE, Georgia. NPI 1407215361 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · TYRONE, GA

Registration Details

NPI Number
1407215361
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2016 (10.514199822601 yrs)
Last Updated
Feb 19, 2016
License
OT006357 (GA)

Practice Information

Address
105 GLENDALOUGH COURT
SUITE H
TYRONE, GA, 30290
Browse GA providers · Browse ZIP 30290
Phone
6786326765
Fax
6785507931
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in TYRONE, GA

Name Credential NPI
MRS. ADRIENNE LOUISE WEISZ OTR/L 1770963837
SAMANTHA CUBBLER 1831780030
MRS. CALLY B POSPISIL 1891450508
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.