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

Lacie Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1497023097

Lacie Moore, PTA is a Physical Therapy Assistant in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
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

6011 University Blvd Ste 120
Ellicott City, MD 21043-6074
Phone: (410) 203-0391
Fax: (410) 203-2707
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A3664 (MD)

Record details

NPI number1497023097
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 9, 2011
Last updated in NPPESJuly 16, 2012

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