NPI 1306798731

Lacy Kissell

Practitioner Physical Therapy Assistant Elkhart, IN

Practice location

Address: 1129 Parkway Ave, Elkhart, IN 46516-1395
Phone: (574) 498-3449
Mailing address: 1801 Baltic Ave, Elkhart, IN 46514-8361

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06005918A (IN)

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Registry record

NPI: 1306798731
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2026
Record last updated: 10 Feb 2026

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.