Lacey, Michelle Elaine

Lacey, Michelle Elaine is an individual health care provider with primary practice located at 3051 E Palmer Wasilla Hwy , Wasilla AK 99654-7234. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lacey, Michelle Elaine can be contacted via phone (907) 279-4266.

Contact Information

Primary practice address
3051 E Palmer Wasilla Hwy Wasilla AK 99654-7234
Phone: (907) 279-4266
Fax: (907) 279-4272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5439 Oregon

Profile Details

NPI number 1487846960
LBN Legal business name Lacey, Michelle Elaine
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Jun 29th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487846960 NPPES
Alaska MEDICAID PT6960

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