Individual provider · Type 1 NPI
Peyton Thom Lacy, DC
Chiropractor · St. Petersburg, FL
NPI number
1629199476
Active
Practice location
3008 Boca Ciega Dr N
St. Petersburg, FL 33710-2834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH8228 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1629199476
Peyton Thom Lacy, DC's National Provider Identifier is 1629199476, issued on Apr 2, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 8, 2007.