LUKE WAHLSTROM

SHOW LOW, AZ
NPI1538510573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  12316)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
-- LUKE WAHLSTROM PT, DPT
5171 CUB LAKE RD SUITE C310
SHOW LOW, AZ 85901-7888
Phone number: 928-537-0248
Mailing Address
-- LUKE WAHLSTROM PT, DPT
206 BUFFALO RUN RD
BUFFALO, MN 55313-2437
Phone number: