Provider Demographics
NPI:1942465158
Name:DOWNER, LACY GREEN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LACY
Middle Name:GREEN
Last Name:DOWNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2757
Mailing Address - Country:US
Mailing Address - Phone:615-794-9602
Mailing Address - Fax:
Practice Address - Street 1:435 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2757
Practice Address - Country:US
Practice Address - Phone:615-794-9602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000002140225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist