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

Lacey Delilah Slade, PTA

Individual provider Physical Therapy Assistant · NPI 1932766052

Lacey Delilah Slade, PTA is a Physical Therapy Assistant in Jerome, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
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

128 5th Ave W
Jerome, ID 83338-1863
Phone: (208) 324-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 429 N. Idaho St., Wendell, ID 83355 — (208) 536-3090

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-6147 (ID)

Record details

NPI number1932766052
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESMay 23, 2019

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