Kevin James Lacey in Mattawan - Physical Therapist
Kevin James Lacey - NPI 1447346036
Kevin James Lacey is a Physical Therapist in Mattawan, Michigan. Kevin James Lacey practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kevin James Lacey is 1447346036. The last update date is 2022-07-04.
Kevin James Lacey's current location address is 23211 Red Arrow Hwy, Mattawan, Michigan. You can contact this provider via phone number 2696685930 and fax number 2696685921. The mailing address for Kevin James Lacey is 23211 Red Arrow Hwy, Mattawan, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin James Lacey |
|---|---|
| Address | 23211 Red Arrow Hwy, Mattawan, Michigan |
| Phone Number | 2696685930 |
| Fax Number | 2696685921 |
| Sole Proprietor | N |
| Credentials | PT, DPT |
NPI Number Detail
| NPI Number | 1447346036 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2022-07-04 |
Provider Mailing Address Detail
| Address | 23211 Red Arrow Hwy |
|---|---|
| City | Mattawan |
| State | Michigan (MI) |
| Post Code | 490719701 |
| Phone Number | 2696685930 |
| Fax Number | 2696685921 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 70008138 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 650H000020 | MI | BCBS MI | |
| 155764 | MI | GREATLAKES HEALTH PLAN | |
| 650H000020 | MI | BCN MI | |
| 7993476 | MI | AETNA INS | |
| 310159700 | MI | ACS/FED GOVT | |
| 6430129 | MI | IBA HEALTH PLANS | |
| 810584027 | MI | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin James Lacey by the Centers for Medicare & Medicaid Services?
The Kevin James Lacey has been assigned the NPI (National Provider Identifier) 1447346036. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kevin James Lacey is physically located?
The Kevin James Lacey is situated at the following address: 23211 Red Arrow Hwy, Mattawan, MI 490719701.
What is Kevin James Lacey's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin James Lacey is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date was the 1447346036 assigned to Kevin James Lacey?
The Kevin James Lacey was issued its 1447346036 on 2006-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kevin James Lacey, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin James Lacey, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-04.