Individual
MR. LUKE EVAN SNAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
201 S NORTHPARK LN, JOPLIN, MO 64801-8426
(417) 622-4768
Mailing address
3610 N CENTRAL CITY RD, JOPLIN, MO 64801-4707
(417) 825-1388
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
14-03258
KS
225200000X
Physical Therapy Assistant
Primary
2017029129
MO
Other
Enumeration date
02/21/2019
Last updated
05/05/2022
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