NPI 1083102735

Lacey Rose Lavoie, PTA

Practitioner Physical Therapy Assistant Salt Lake City, UT

Practice location

Address: 1952 E Fort Union Blvd, Salt Lake City, UT 84121-6877
Phone: (208) 942-7625

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5752 (ID)

Other Physical Therapy Assistant providers in Utah →

Registry record

NPI: 1083102735
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2018
Record last updated: 27 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.