Lacee Hughes, PTA

Individual provider Active NPI Physical Therapy Assistant · Richmond, MO

NPI 1548066749 · NPPES record last updated Feb 20, 2025

Key facts

NPI
1548066749
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2010032228 (MO)
Practice address
804 Wollard Blvd
Richmond, MO 64085-2227
Phone
(816) 776-5403
Fax
(816) 776-3591
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2010032228MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2010032228 MO Yes

Addresses

Primary practice location

804 Wollard Blvd
Richmond, MO 64085-2227

Mailing address

804 Wollard Blvd
Richmond, MO 64085-2227
Phone (816) 776-5403

Other providers in Richmond, MO

All providers in Richmond, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.