Individual
GRACEE ELIZABETH LASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
411 W HAYCRAFT AVE STE D1, COEUR D ALENE, ID 83815-8104
(208) 664-2468
Mailing address
411 W HAYCRAFT AVE STE D1, COEUR D ALENE, ID 83815-8104
(208) 664-2468
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4971554
ID
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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