Individual
LACY KISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 PARKWAY AVE, ELKHART, IN 46516-1395
(574) 498-3449
Mailing address
1801 BALTIC AVE, ELKHART, IN 46514-8361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005918A
IN
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us