Individual
LUKE EDWARD AUGUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
920 E SANDUSKY AVE, BELLEFONTAINE, OH 43311-2856
(937) 404-1214
Mailing address
920 E SANDUSKY AVE, BELLEFONTAINE, OH 43311-2856
(937) 404-1214
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/24/2020
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