| Doctor Name: | NICOLE MARIE ENGER-LUSTER |
| NPI Number: | 1528343662 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT3239 |
| Business Practice Address: | 1007 Windover Rd Jonesboro, AR - 724016007 |
| Business Phone Number: | 8703361530 |
| Business Fax Number: | 8703361531 |
| Mailing Address: | Po Box 1960, JONESBORO |
| State: | AR |
| Postal Code: | 724031960 |
| Phone Number: | 8709345102 |
| Fax Number: | 8709323608 |
| NPI Enumeration Date: | 10/20/2011 |
| NPI Last Update Date: | 10/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT3239 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |