Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Physical Therapy Center Incorporated

Organization Specialist · NPI 1164649497

Lacey Physical Therapy Center Incorporated is a Specialist in Mattawan, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

23211 Red Arrow Hwy
Mattawan, MI 49071-9701
Phone: (269) 668-5930
Fax: (269) 668-5921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5501010346 (MI)

Record details

NPI number1164649497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Lacey — President · (269) 668-5930
NPI enumeratedApril 19, 2007
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address23211 Red Arrow Hwy, Mattawan, MI 49071-9701