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

LACEY DELILAH SLADE, PTA

Active

LACEY DELILAH SLADE, PTA is a Occupational Therapist healthcare provider located in JEROME, Idaho. NPI 1932766052 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · JEROME, ID

Registration Details

NPI Number
1932766052
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2019 (7.1990243366393 yrs)
Last Updated
May 23, 2019
License
PTA-6147 (ID)

Practice Information

Address
128 5TH AVE W
JEROME, ID, 833381863
Browse ID providers · Browse ZIP 83338
Phone
2083243090
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in JEROME, ID

Name Credential NPI
JAMIE LYNN BENEDICT PTA 1134101223
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.