Lacey Wise, PT Valid NPI

Individual provider · Physical Therapist · Castle Rock, WA

NPI

1154830677

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT61342050 (WA)

Sex

Female

Sole proprietor

No

Enumerated

2017-09-27

Last updated

2024-03-26