Individual
CHELSEA LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1115 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109-5443
(573) 634-3070
Mailing address
1115 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109-5443
(573) 634-3070
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
2017033644
MO
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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