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Lacey Physical Therapy Center Incorporated

Specialist in Mattawan, MI · enumerated 2007 · authorized official Kevin Lacey, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164649497

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Registry record

Entity type Organization (Type 2)
Legal business name Lacey Physical Therapy Center Incorporated
Practice address 23211 Red Arrow Hwy, Mattawan, MI, 49071
Phone (269) 668-5930
Fax (269) 668-5921
Enumeration date Apr 19, 2007
Last updated in NPPES Aug 6, 2021

Taxonomy & classification

174400000X Specialist Other Service Providers · License 5501010346 (MI) Primary

Authorized official

Name Kevin Lacey
Title President
Phone (269) 668-5930

Other identifiers

Identifier Type State Issuer
155764 Other MI GREAT LAKES UNITED HEALTH
6430129 Other MI IBA
650H000020 Other MI BCBS MI
7993476 Other MI AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-06. Verify at npiregistry.cms.hhs.gov.
Where is Lacey Physical Therapy Center Incorporated located?
The practice location on file with NPPES is in Mattawan, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-06.