IndividualActive
Alicia Lacy, ATC
NPI 1659752269 · Athletic Trainer · Old Town, ME
Provider details
- NPI number
- 1659752269
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT856 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
19 Bachelder Rd
Old Town, ME 04468-1217
Phone: (203) 843-2930
Approximate (ZIP-level) locationGet directions
Mailing address
19 Bachelder Rd
Old Town, ME 04468-1217
Registry dates
- Enumerated
- 2015-06-10
- Last updated
- 2023-08-24
- Certified
- 2023-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.