Active NPIIndividual providerSole proprietor

Lacee M Macinnis, ATC

Specialist/Technologist, Athletic Trainer in Indianapolis, Indiana

NPI Number1396386074
Practice location
5949 W Raymond St, Indianapolis, IN 46241-4348
Fax
—
Last updated
November 26, 2025

Lacee May Alger Macinnis is a Specialist/Technologist, Athletic Trainer based in Indianapolis, IN. Lacee May Alger Macinnis practices in Indianapolis, IN and has the professional credentials of ATC. The NPI Number for Lacee May Alger Macinnis is 1396386074 and holds a License No. 3562 (MA). The current practice location address for Lacee May Alger Macinnis is 5949 W Raymond St, Indianapolis, IN 46241-4348 and can be reached out via phone at 317-396-1671.

Provider Profile Details

NPI Number
1396386074
Provider Name
Lacee May Alger Macinnis
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
5949 W Raymond St, Indianapolis, IN 46241-4348
Phone Number
317-396-1671
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2019
Last Update Date
November 26, 2025
Certification Date
November 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
5949 W Raymond St
Indianapolis, IN 46241-4348
State
Indiana
Zip
46241-4348
Phone Number
317-396-1671
Indianapolis, IN 46241Get directions →

Provider Business Mailing Address Details

Address
147 Baldwinville State RD
Winchendon, MA 01475-1827
City
Winchendon
State
MA
Zip
01475-1827
Phone Number
978-895-6222

License Information

License Number
3562
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lacee M Macinnis, ATC?

The NPI number of Lacee M Macinnis, ATC is 1396386074. It was assigned on October 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Lacee M Macinnis, ATC?

Lacee M Macinnis, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 3562.

Where does Lacee M Macinnis, ATC practice?

The practice location is 5949 W Raymond St, Indianapolis, IN 46241-4348. The office can be reached at 317-396-1671 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396386074 directly on the NPPES registry website.

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