Individual provider · Type 1 NPI

Lacey Rose Lavoie, PTA

Physical Therapy Assistant · Salt Lake City, UT

NPI number 1083102735 Active

Practice location

1952 E Fort Union Blvd
Salt Lake City, UT 84121-6877

Call (208) 942-7625 Map

Other practice locations

  • 7845 W Holt Ct, Boise, ID 83704-7213 · (208) 941-7625
  • 7845 W Holt Ct, Boise, ID 83704-7213 · (208) 941-7625

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5752 (ID)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1083102735

Lacey Rose Lavoie, PTA's National Provider Identifier is 1083102735, issued on Apr 27, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 27, 2018.