Individual
LACEE MAY ALGER MACINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5949 W RAYMOND ST, INDIANAPOLIS, IN 46241-4348
(317) 396-1671
Mailing address
147 BALDWINVILLE STATE RD, WINCHENDON, MA 01475-1827
(978) 895-6222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3562
MA
Other
Enumeration date
10/03/2019
Last updated
11/26/2025
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