IndividualActive
Lacy Phillips, PTA
NPI 1487214391 · Geriatric Physical Therapist · Omaha, NE
Provider details
- NPI number
- 1487214391
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1106 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4102 Woolworth Ave
Omaha, NE 68105-1851
Phone: (402) 444-7000
Approximate (ZIP-level) locationGet directions
Mailing address
4733 S Ranch Cir
Blair, NE 68008-6436
Registry dates
- Enumerated
- 2019-06-13
- Last updated
- 2019-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.