Mary Luckey PT

NPI 1659526598 - Physical Therapist - 225100000X

NPI Details
NPI 1659526598
Gender Female
Enumeration Date 11/19/2008
Last Updated 07/05/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
2717 CHANTEL DR
BOSSIER CITY LA, 71111-2015, US
Phone (318) 780-7373
Fax
Business Location
2717 CHANTEL DR
BOSSIER CITY LA, 71111-2015, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Louisiana
License Number 01638
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According to our database, Ms. Mary Luckey PT NPI is 1659526598, taxonomy code is 225100000X and license number is 01638, license state is located at Louisiana. Mary Luckey PT physically located at 2717 Chantel Dr, Bossier City LA, 71111-2015. NPI Number Mary Luckey PT has the Individual type.

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1659526598 NPI number is provided on an as is basis without warranty of any kind. 1659526598 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Luckey PT are for informational purposes only.