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

Lacey Erickson Haas

Individual provider Physical Therapist · NPI 1053543843

Lacey Erickson Haas is a Physical Therapist in Private Practice in Alpine, Wyoming. Qualified in 2009, 17 years ago. Practices with Four Pines Physical Therapy Limited Partnership, a 13-clinician group and accepts Medicare assignment. Licensed in Utah and Wyoming.

Years since qualifying
17
Licensed in
UT, WY
In the registry since
2009
Specialties on file
2

Practice location Address checks out

94 Emerger Ave
Alpine, WY 83128
Phone: (307) 733-5577
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2134 (WY)
Physical Therapist Taxonomy 225100000X · Licence 7346634-2401 (UT)

Record details

NPI number1053543843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2009
Last updated in NPPESOctober 18, 2023
Certification dateOctober 16, 2023
Mailing addressPo Box 2832, Alpine, WY 83128-2608

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Four Pines Physical Therapy Limited Partnership — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Alpine