LACEY MOODY

SOUTHAVEN, MS
NPI1083025001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT5426)
Enumeration Date2014-05-13
Last Update Date2014-05-13
Business Address
-- LACEY MOODY
3964 GOODMAN RD E SUITE 111
SOUTHAVEN, MS 38672-8761
Phone number: 662-890-6953
Mailing Address
-- LACEY MOODY
2001 MALLORY LN SUITE 201
FRANKLIN, TN 37067-8233
Phone number: 615-373-1350
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