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Individual
MR. LUCAS CHARLES HANERHOFF
Active
Individual
MR. LUCAS CHARLES HANERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.PT.70119694-CP
WA
225100000X
Physical Therapist
PTL.0020876
CO
2255A2300X
Athletic Trainer
24-01534
KS
Other
Enumeration date
02/21/2019
Last updated
05/07/2026
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