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Phillip Lackey, ATC
NPI 1619561313 · on the registry since 2021
Practice
- Address
- 1112 Ms-25
Amorry, MS 38821 - Phone
- (662) 257-4048
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
2255A2300X
2255A2300X - Licence states on file
- MS, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi