Individual
AUTUMN LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 WILSON AVE NW, WALKER, MI 49534-6407
(616) 284-3686
Mailing address
607 DEWEY AVE NW STE 300, GRAND RAPIDS, MI 49504-7335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018372
MI
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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