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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487846960 | NPPES |
| Alaska | MEDICAID | PT6960 |
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