Doctor Name: | MICHAEL J. LACEY |
NPI Number: | 1487621173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 40QA01093000 |
Business Practice Address: | 3240 Sunset Blvd West Columbia, SC - 291693428 |
Business Phone Number: | 8037968377 |
Business Fax Number: | 8037968378 |
Mailing Address: | 825 Golden Eye Ct, BLYTHEWOOD |
State: | SC |
Postal Code: | 290169250 |
Phone Number: | 8037679431 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 02/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01093000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |