Doctor Name: | MS. MARY LUCKEY |
NPI Number: | 1659526598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 01638 |
Business Practice Address: | 2717 Chantel Dr Bossier City, LA - 711112015 |
Business Phone Number: | 3187807373 |
Business Fax Number: | |
Mailing Address: | 2717 Chantel Dr, BOSSIER CITY |
State: | LA |
Postal Code: | 711112015 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/19/2008 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 01638 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
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 |