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

Lacey Rose Lavoie, PTA

Individual provider Physical Therapy Assistant · NPI 1083102735

Lacey Rose Lavoie, PTA is a Physical Therapy Assistant in Salt Lake City, Utah. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1952 E Fort Union Blvd
Salt Lake City, UT 84121-6877
Phone: (208) 942-7625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7845 W Holt Ct, Boise, ID 83704-7213 — (208) 941-7625
  • 7845 W Holt Ct, Boise, ID 83704-7213 — (208) 941-7625

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5752 (ID)

Record details

NPI number1083102735
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 27, 2018
Last updated in NPPESApril 27, 2018

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