Lacey Physical Therapy Center Incorporated

NPI #1164649497 in Mattawan, Michigan

Provider Information

NPI Number: 1164649497
Entity Type: Organization
Organization Name: Lacey Physical Therapy Center Incorporated
Primary Specialty: Specialist
Enumeration Date: Apr 19, 2007
Last Updated: Aug 6, 2021

Practice Location

Address: 23211 RED ARROW HWY
City: Mattawan
State: Michigan
ZIP Code: 49071-9701
Phone: (269) 668-5930

Authorized Official

Name: KEVIN JAMES LACEY, PT, DPT
Title: PRESIDENT
Phone: (269) 668-5930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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