Jason David Lacy in Chickamauga - Occupational Therapist

Jason David Lacy - NPI 1255489324

Jason David Lacy is a Occupational Therapist in Chickamauga, Georgia. Jason David Lacy practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jason David Lacy is 1255489324. The last update date is 2007-07-08.

Jason David Lacy's current location address is 74 Glass Mill Pointe Dr, Chickamauga, Georgia. You can contact this provider via phone number 7063753050. The mailing address for Jason David Lacy is 74 Glass Mill Pointe Dr, Chickamauga, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason David Lacy
Address 74 Glass Mill Pointe Dr, Chickamauga, Georgia
Phone Number 7063753050
Fax Number
Sole Proprietor Y
Credentials MSR, OTR-L

NPI Number Detail

NPI Number 1255489324
Provider Enumeration Date 2007-01-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 74 Glass Mill Pointe Dr
City Chickamauga
State Georgia (GA)
Post Code 307073478
Phone Number 7063753050
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No OT2656
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OT3322 GA OT STATE LICENSE
OT2656 TN OT STATE LICENSE

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FAQs about Jason David Lacy

What is the Jason David Lacy's unique identification number?

The Jason David Lacy has been assigned the NPI (National Provider Identifier) Number 1255489324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Jason David Lacy is physically located?

The Jason David Lacy is situated at the following address: 74 Glass Mill Pointe Dr, Chickamauga, GA 307073478.

What is Jason David Lacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jason David Lacy is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.

When was the Jason David Lacy's 1255489324 issued?

The Jason David Lacy's 1255489324 was issued on 2007-01-08.

When was the information related to Jason David Lacy most recently updated or refreshed?

The details pertaining to the Jason David Lacy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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