NPI
Lacey S Rose
NPI 1336478791
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2009-12-15
- Last updated
- 2009-12-15
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Specialties
Licenses
- License MS
- PT2435
Location
- Practice location
- 1966 Hill Dr
- City
- Grenada MS
- Postal code
- 38901-5047
- Phone
- (662) 226-2442
- Fax
- (662) 226-9567
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physical Therapists in Grenada, MS. 10 with this primary taxonomy in the public file.
Other NPIs in Grenada, MS. 341 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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