Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENEDI ALEXUS LACKEY, PT, DPT
Active Sole ProprietorKENEDI ALEXUS LACKEY, PT, DPT is a Physical Therapy Assistant healthcare provider located in GAINESVILLE, Georgia. NPI 1740013341 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GAINESVILLE, GA
Registration Details
- NPI Number
- 1740013341
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2024 (1.9964515490947 yrs)
- Last Updated
- Oct 11, 2024
- License
-
PT017294 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7985 KNIGHT RDGAINESVILLE, GA, 305066427Browse GA providers · Browse ZIP 30506
- Phone
- 7707814899
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GAINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. PAMELA KAYE ROBERS | PT | 1902865884 |
| WARNER BROCK | P.T.,CMDT, MBA, CEAS | 1063450054 |
| WILLIAM H F MCVEY | PT, DPT | 1467491696 |
| CANDACE GODWIN | — | 1841308095 |
| WILLIAM JARED JINKS | PT | 1215048004 |
| MRS. KRISTEN AGNEW PRUITT | M.S, PT | 1114012911 |
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.