MISTY GAYLE LUCE

FORT DODGE, KS
NPI1124666722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-03536)
Enumeration Date2019-12-13
Last Update Date2019-12-13
Business Address
MISTY GAYLE LUCE PTA
714 SHERIDAN ST
FORT DODGE, KS 67843-9068
Phone number: 620-227-2121
Mailing Address
MISTY GAYLE LUCE PTA
201 CUSTER ST
FORT DODGE, KS 67843
Phone number: 620-227-2121