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Individual

IAN LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
5670 GREENWOOD PLAZA BLVD STE LL110, GREENWOOD VILLAGE, CO 80111-2448
(303) 694-9193
(303) 779-0566
Mailing address
5670 GREENWOOD PLAZA BLVD, GREENWOOD VILLAGE, CO 80111-2448
(303) 694-9193
(303) 779-0566

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60668640
WA
225100000X
Physical Therapist
Primary
PTL.0019699
CO

Other

Enumeration date
09/16/2016
Last updated
05/06/2026
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