| NPI | 1174987614 |
|---|---|
| Doing Business As | LUKE CARLSON PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TATE VANHOUTEN Owner 515-288-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-11-18 |