DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL J. LACEY, MPT

Active

Physical Therapy Assistant · WEST COLUMBIA, SC

Registration Details

NPI Number
1487621173
Provider Type
Individual
Gender
Male
NPI Issued
Mar 2, 2006 (20.137637915951 yrs)
Last Updated
Feb 12, 2008
Licenses
40QA01093000 (NJ)
5400 (SC)

Practice Information

Address
3240 SUNSET BLVD
WEST COLUMBIA, SC, 291693428
Browse SC providers · Browse ZIP 29169
Phone
8037968377
Fax
8037968378
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in WEST COLUMBIA, SC

Name Credential NPI
KIRSTEN JORDAN THOMPSON RPT 1356308241
JENNA R ELLIOTT PT 1740393933
KIM EVANS PT 1598878704
BETH ADAMS PT 1699889550
CELISE M ZBYTOVSKY PT 1275643504
MRS. JAMIE R TAYLOR RPT 1922192442
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.