Individual provider · Type 1 NPI

Lacy Rae Phillips, PTA

Geriatric Physical Therapist · Omaha, NE

NPI number 1487214391 Active

Practice location

4102 Woolworth Ave
Omaha, NE 68105-1851

Mailing address

4733 S Ranch Cir
Blair, NE 68008-6436

Specialties and licenses

TaxonomyCodeLicense
Geriatric Physical Therapist Primary 2251G0304X1106 (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.