KACIE MARIE LUCKETT

BATON ROUGE, LA
NPI1912239450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A7620)
Enumeration Date2010-02-09
Last Update Date2010-02-09
Business Address
-- KACIE MARIE LUCKETT
13151 DENHAM RD
BATON ROUGE, LA 70818-1202
Phone number: 225-939-2998
Mailing Address
-- KACIE MARIE LUCKETT
PO BOX 63
PRIDE, LA 70770-0063
Phone number: 225-939-2998
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