| Doctor Name: | BRIAN MICHAEL LACKEY |
| NPI Number: | 1871580746 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T, |
| License Number: | PTH2793 |
| Business Practice Address: | 924 Plantation Blvd Ste B Fairhope, AL - 365327308 |
| Business Phone Number: | 2519280600 |
| Business Fax Number: | 2519286137 |
| Mailing Address: | 328 Lennox Sq, FAIRHOPE |
| State: | AL |
| Postal Code: | 365327519 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2005 |
| NPI Last Update Date: | 03/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTH2793 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |