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

Lacey Autumn Harris, PTA

Individual provider Physical Therapy Assistant · NPI 1770215063

Lacey Autumn Harris, PTA is a Physical Therapy Assistant in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

4871 Socastee Blvd Unit E
Myrtle Beach, SC 29588-7252
Phone: (843) 293-5610
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4887 (SC)

Record details

NPI number1770215063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 24, 2022

Other providers in Myrtle Beach