Doctor Name: | DALE H. LACKEY |
NPI Number: | 1639218977 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 6708 |
Business Practice Address: | 2000 Neuse Blvd New Bern, NC - 285603449 |
Business Phone Number: | 2526338640 |
Business Fax Number: | 2526365376 |
Mailing Address: | 2000 Neuse Blvd, NEW BERN |
State: | NC |
Postal Code: | 285603449 |
Phone Number: | 2526338640 |
Fax Number: | 2526365376 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |