Booth, Lacey Anita

Booth, Lacey Anita is an individual health care provider with primary practice located at 148 Sauls St Ste B , Lake City SC 29560-2677. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Booth, Lacey Anita can be contacted via phone (843) 374-0185.

Contact Information

Primary practice address
148 Sauls St Ste B Lake City SC 29560-2677
Phone: (843) 374-0185
Fax: (843) 374-0189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9459 South Carolina

Profile Details

NPI number 1457945057
LBN Legal business name Booth, Lacey Anita
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2021
Last updated Feb 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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