Mrs. Lacey A Grace, PTA
Physical Therapy Assistant in Lebanon, New Hampshire
1104016682- Practice location
- 24 Old Etna RD, Lebanon, NH 03766-1937
- Phone
- 603-442-4207
- Fax
- 603-442-4250
- Last updated
- July 31, 2007
Lacey Ann Grace is a Physical Therapy Assistant based in Lebanon, NH. Lacey Ann Grace practices in Lebanon, NH and has the professional credentials of PTA. The NPI Number for Lacey Ann Grace is 1104016682 and holds a License No. 0845 (NH). The current practice location address for Lacey Ann Grace is 24 Old Etna RD, Lebanon, NH 03766-1937 and can be reached out via phone at 603-442-4207 and via fax at 603-442-4250.
Provider Profile Details
- NPI Number
- 1104016682
- Provider Name
- Lacey Ann Grace
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 24 Old Etna RD, Lebanon, NH 03766-1937
- Phone Number
- 603-442-4207
- Fax Number
- 603-442-4250
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 31, 2007
- Last Update Date
- July 31, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 Old Etna RD
Lebanon, NH 03766-1937 - City
- Lebanon
- State
- New Hampshire
- Zip
- 03766-1937
- Phone Number
- 603-442-4207
- Fax Number
- 603-442-4250
Provider Business Mailing Address Details
- Address
- 130 James St
Charlestown, NH 03603-4716 - City
- Charlestown
- State
- NH
- Zip
- 03603-4716
- Phone Number
- 603-826-5702
License Information
- License Number
- 0845
- License State
- NH
- Taxonomy
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapy Assistants near Lebanon, NH
View all Physical Therapy Assistants in Lebanon →Frequently Asked Questions
What is the NPI number of Mrs. Lacey A Grace, PTA?
The NPI number of Mrs. Lacey A Grace, PTA is 1104016682. It was assigned on July 31, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lacey A Grace, PTA?
Mrs. Lacey A Grace, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NH under license number 0845.
Where does Mrs. Lacey A Grace, PTA practice?
The practice location is 24 Old Etna RD, Lebanon, NH 03766-1937. The office can be reached at 603-442-4207 (phone) or 603-442-4250 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104016682 directly on the NPPES registry website.