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

Lacy Martin

Individual provider Physical Therapist · NPI 1356895148

Lacy Martin is a Physical Therapist in Private Practice in Cody, Wyoming. Graduated from Texas Tech University Health Science Center School of Medicine in 2016, 10 years ago. Practices with Canyon Hand Therapy, PC, a 9-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
10
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
WY
In the registry since
2016
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Practice location Address checks out

544 Yellowstone Ave
Cody, WY 82414-9300
Phone: (307) 587-9789
Fax: (307) 587-9787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1885 (WY)

Record details

NPI number1356895148
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2016
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address544 Yellowstone Ave, Cody, WY 82414-9300

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Canyon Hand Therapy, P.C. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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