Individual
MS. LACEY J PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
107 RIDGEWATER DR STE B, POLSON, MT 59860-8977
(406) 883-2666
(406) 883-2667
Mailing address
107 6TH AVE SW, RONAN, MT 59864-2634
(406) 676-4441
(406) 676-0835
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13045
MT
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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