NPI | 1457611857 |
---|---|
Former Name | KELSEY R LUKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60273291) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA 60273291) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2025-09-03 |