Individual
LACEY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY ASS
Contact information
Practice address
132 S CEDAR ST, MASON, MI 48854-2401
(517) 853-6800
(517) 853-6801
Mailing address
7402 WESTSHIRE DR STE 105, LANSING, MI 48917-8687
(517) 853-6800
(517) 853-6801
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004209
MI
Other
Enumeration date
06/11/2014
Last updated
06/09/2022
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