Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN DAVID LACKEY, OTD, OTR/L
Active Sole ProprietorJUSTIN DAVID LACKEY, OTD, OTR/L is a Pediatric Occupational Therapist healthcare provider located in PHOENIX, Arizona. NPI 1477387835 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · PHOENIX, AZ
Registration Details
- NPI Number
- 1477387835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2024 (1.9423111225928 yrs)
- Last Updated
- Aug 28, 2024
- License
-
009730 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2120 E PARK VIEW LNPHOENIX, AZ, 850245302Browse AZ providers · Browse ZIP 85024
- Phone
- 8053383361
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. VALERIE ELLEN PIERACCINI | OTR | 1417936899 |
| MRS. DARLA KATHLEEN GOODMAN | M.S. OTR/L | 1902886336 |
| MS. ROSANNE MAY URBANOWICZ | OTR/L | 1033128129 |
| SARA FAYE FLEISHMAN | — | 1508942152 |
| AMBER KAY PARK | — | 1750468559 |
| ALICE M YOUNG | OTR/L | 1043397649 |
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.