Lavoie, Lacey Rose

Lavoie, Lacey Rose is an individual health care provider with primary practice located at 1952 E Fort Union Blvd , Salt Lake City UT 84121-6877. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Lavoie, Lacey Rose can be contacted via phone (208) 942-7625.

Contact Information

Primary practice address
1952 E Fort Union Blvd Salt Lake City UT 84121-6877
Phone: (208) 942-7625
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5752 Idaho

Profile Details

NPI number 1083102735
LBN Legal business name Lavoie, Lacey Rose
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2018
Last updated Apr 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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