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

Phillip Brandon Lackey, ATC

Individual provider Physical Therapy Assistant · NPI 1619561313

Phillip Brandon Lackey, ATC is a Physical Therapy Assistant in Amorry, Mississippi. Licensed in Alabama and Mississippi. Registered with an NPI since 2021.

Licensed in
AL, MS
In the registry since
2021
Specialties on file
4
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1112 MS-25
Amorry, MS 38821
Phone: (662) 257-4048
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 PTA4680 (MS)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA6336 (AL)
Athletic Trainer Taxonomy 2255A2300X · Licence AT0358 (MS)
Athletic Trainer Taxonomy 2255A2300X · Licence 2373 (AL)

Record details

NPI number1619561313
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateJanuary 31, 2021
Mailing address1112 Ms-25, Amorry, MS 38821