Nordby, Lacey

Nordby, Lacey is an individual health care provider with primary practice located at 15614 Huebner Rd Suite 115, San Antonio TX 78248-0992. 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. Nordby, Lacey can be contacted via phone (210) 647-9970.

Contact Information

Primary practice address
15614 Huebner Rd Suite 115 San Antonio TX 78248-0992
Phone: (210) 647-9970
Fax: (610) 647-7229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2126630 Texas

Profile Details

NPI number 1326589425
LBN Legal business name Nordby, Lacey
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2017
Last updated Mar 9th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326589425 NPPES
Texas Other 2126630 TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS

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