Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlin Lackey

Individual provider Pediatric Occupational Therapist · NPI 1407215361

Kaitlin Lackey is a Pediatric Occupational Therapist in Tyrone, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016

Practice location Address checks out

105 Glendalough Ct Ste H
Tyrone, GA 30290
Phone: (678) 632-6765
Fax: (678) 550-7931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT006357 (GA)

Record details

NPI number1407215361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2016
Last updated in NPPESFebruary 19, 2016
Mailing address117 Hardy Road, Senoia, GA 30267

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