| NPI | 1891425583 |
|---|---|
| Former Name | KIARA PAIGE LUEKING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306606119) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160008647) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |