Individual
ROBERTA LUCKLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSPT
Contact information
Practice address
172 4TH ST SE, HURON, SD 57350-2590
(605) 353-6200
(605) 353-6300
Mailing address
172 4TH ST SE, HURON, SD 57350-2590
(605) 353-6200
(605) 353-6300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0283
SD
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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