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