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Heather Lacey Clark, DPT

NPI 1538538350ActiveIndividual· Physical Therapist· Lebanon, KY

Physical Therapist (DPT) in Lebanon, Kentucky, licensed in KY, with an NPI issued in September 2015. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1538538350
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedSep 22, 2015
Last updated in NPPESMay 8, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X006757KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (KY)

Medicare sources and data years

Other Physical Therapist providers in Lebanon

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