LACEY WISE

CASTLE ROCK, WA
NPI1154830677
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT61342050)
Enumeration Date2017-09-27
Last Update Date2024-03-26
Business Address
Ms. LACEY WISE PT
1316 MT SAINT HELENS WAY SE SUITE B
CASTLE ROCK, WA 98611
Phone number: 360-557-8020
Mailing Address
Ms. LACEY WISE PT
1817 S MARKET BLVD STE C
CHEHALIS, WA 98532-4100
Phone number: 360-996-4410