Individual provider · Type 1 NPI
Lacy Rae Phillips, PTA
Geriatric Physical Therapist · Omaha, NE
Practice location
4102 Woolworth Ave
Omaha, NE 68105-1851
Mailing address
4733 S Ranch Cir
Blair, NE 68008-6436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 1106 (NE) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
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About NPI 1487214391
Lacy Rae Phillips, PTA's National Provider Identifier is 1487214391, issued on Jun 13, 2019. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Omaha, NE. The record was last updated on Jun 13, 2019.