NPI 1053776864
Lacey Juelfs, PTA
Practice location
- Address
- 12 6th Ave SW PO Box C, Bowman, ND 58623-4518
- Phone
- (701) 523-3226
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1053776864
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Dec 2015
- Record last updated
- 21 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.