# DR. LACE ELLY LUEDKE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447218730
- **Gender:** F
- **Credential:** PT PHD DPT OCS CSCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2611 | AR | — |
| 225100000X | Physical Therapist | 5847024 | WI | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1305 | MCKENZIE INSTITUTE CERT | — |
| 01 | — | 977732 | NSCA CSCS | — |