Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRETT DAVID LACKIE, DPT
ActiveBRETT DAVID LACKIE, DPT is a Physical Therapy Assistant healthcare provider located in ROSEVILLE, Minnesota. NPI 1457812307 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ROSEVILLE, MN
Registration Details
- NPI Number
- 1457812307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2019 (7.3675079985516 yrs)
- Last Updated
- Jan 27, 2026
- License
-
11403 (MN)
Practice Information
- Address
-
3050 CENTRE POINTE DRROSEVILLE, MN, 55113Browse MN providers · Browse ZIP 55113
- Phone
- 9528318742
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| MR. CRAIG CARNEY COWELL | P.T. | 1316946528 |
| KRISTINE JOYCE GJERDE | PT | 1154394443 |
| MR. JOHN DAVID FARR | PT | 1891754875 |
| NICHOLAS DANIEL BIONDICH | PT | 1104862671 |
| KRISTINE MARIE BALSIMO | MPT | 1467569194 |
| DARCY RAY SCHUBLOOM | PT | 1679672968 |
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.