Individual
JACOB E LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2039 W MAIN ST STE B, CABOT, AR 72023-7479
(501) 605-8888
(501) 605-8899
Mailing address
13100 CHENAL PARKWAY, LITTLE ROCK, AR 72211-7479
(501) 975-4040
(501) 975-4043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4563
AR
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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