# ST. LUKE'S HEALTH RESOURCES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Luke's PT/OT Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255375556
- **Authorized official:** MR. MARK A JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (712) 279-3934

## Contact information

- **Practice address:** 224 N DERBY LN, NORTH SIOUX CITY, SD 57049-3016
- **Practice address phone:** (605) 232-6422
- **Mailing address:** 2720 STONE PARK BLVD, ROOM 629, SIOUX CITY, IA 51104-3734
- **Mailing address phone:** (712) 279-3380
- **Mailing address fax:** (712) 279-7015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 06/24/2008