Lacey Feezor, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Clarksville, VA
NPI 1043783301 · NPPES record last updated Jan 9, 2019
Key facts
- NPI
- 1043783301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131001273 (VA)
- Practice address
- 184 Buffalo Rd
Clarksville, VA 23927-9010 - Phone
- (434) 374-3025
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131001273 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131001273 | VA | Yes |
Addresses
Primary practice location
184 Buffalo Rd
Clarksville, VA 23927-9010
Mailing address
184 Buffalo Rd
Clarksville, VA 23927-9010
Other providers in Clarksville, VA
- Rosemary Cosselmon
- Donna Kay Dawson
- Carol Koch Dempsey
- Dominion Health Medical Assoc
- Elizabeth Engelhorn
- Food Lion LLC
- Rasheena Goode
- Halifax Regional Hospital, Inc
- Kirk Robert Hasenmueller
- Maritza Garcia Holzknecht
All providers in Clarksville, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.