Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kevin James Lacey, PT, DPT

Individual provider Physical Therapist · NPI 1447346036

Mr. Kevin James Lacey, PT, DPT is a Physical Therapist in Mattawan, Michigan. Licensed in Illinois and Michigan. Registered with an NPI since 2006.

Licensed in
IL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

23211 Red Arrow Hwy
Mattawan, MI 49071-9701
Phone: (269) 668-5930
Fax: (269) 668-5921
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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 5501010346 (MI)
Physical Therapist Taxonomy 225100000X · Licence 070008138 (IL)

Record details

NPI number1447346036
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 4, 2022
Certification dateJuly 4, 2022

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