HEATHER LACEY CLARK

LEBANON, KY
NPI1538538350
Former NameHEATHER LACEY THOMAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  006757)
Enumeration Date2015-09-22
Last Update Date2018-05-08
Business Address
Miss HEATHER LACEY CLARK DPT
703 E MAIN ST UNIT 1
LEBANON, KY 40033-8696
Phone number: 270-699-9503
Mailing Address
Miss HEATHER LACEY CLARK DPT
703 E MAIN ST UNIT 1
LEBANON, KY 40033-8696
Phone number: 270-699-9503