Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP BRANDON LACKEY, ATC
ActivePHILLIP BRANDON LACKEY, ATC is a Occupational Therapist healthcare provider located in AMORRY, Mississippi. NPI 1619561313 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · AMORRY, MS
Registration Details
- NPI Number
- 1619561313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2021 (5.4473299306579 yrs)
- Last Updated
- Feb 23, 2021
- Licenses
-
PTA4680 (MS)PTA6336 (AL)AT0358 (MS)2373 (AL)
Practice Information
- Address
-
1112 MS-25AMORRY, MS, 38821Browse MS providers · Browse ZIP 38821
- Phone
- 6622574048
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
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.