Search › Washington › 225100000X
Lacey Wise, PT
NPI 1154830677 · on the registry since 2017
Practice
- Address
- 1316 Mt Saint Helens Way Se
Suite B
Castle Rock, WA 98611 - Phone
- (360) 557-8020
Additional practice sites
- 1817 S Market Blvd Ste C, Chehalis, WA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington