# MEGHAN LUCZKOWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174138101
- **Gender:** F
- **Credential:** PT, DPT, LAT, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251S0007X | Sports Physical Therapist | 2021034182 | MO | Yes |
| 2255A2300X | Athletic Trainer | 2021037359 | MO | — |
| 2255A2300X | Athletic Trainer | 36002790A | IN | — |

## Other

- **Enumeration date:** 09/15/2020
- **Last updated:** 08/09/2023
