Individual
LUCAS CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3048 E BASELINE RD, SUITE 125, MESA, AZ 85204-7286
(480) 222-0655
(480) 222-1457
Mailing address
4631 WHITMAN LN SE, STE D, LACEY, WA 98513-2250
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10982
AZ
225100000X
Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946863
—
AZ
Enumeration date
07/07/2014
Last updated
07/15/2019
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