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

Lacey Buchholtz

Individual provider Physical Therapy Assistant · NPI 1043618580

Lacey Buchholtz is a Physical Therapy Assistant in Augusta, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2014

Practice location Address checks out

708 W Washington St
Augusta, WI 54722-9085
Phone: (715) 286-2488
Show map & directions

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

Additional practice locations (1)

  • S9969 Wi-27, Augusta, WI 54722 — (715) 286-2266

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2212-19 (WI)

Record details

NPI number1043618580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2014
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020
Mailing address708 W Washington St, Augusta, WI 54722-9085

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