Individual
MEGHAN LUCZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, ATC
Contact information
Practice address
701 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8702
(317) 260-8722
Mailing address
1611 PRATHER AVE, SAINT LOUIS, MO 63139-3651
(317) 260-8722
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2021034182
MO
2255A2300X
Athletic Trainer
2021037359
MO
2255A2300X
Athletic Trainer
36002790A
IN
Other
Enumeration date
09/15/2020
Last updated
08/09/2023
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