Individual
LUKE LETTINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 HOLLY WAY, PISMO BEACH, CA 93449-3221
(616) 560-8671
Mailing address
108 HOLLY WAY, PISMO BEACH, CA 93449-3221
(616) 560-8671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291530
CA
2251X0800X
Orthopedic Physical Therapist
Primary
1250529
TX
Other
Enumeration date
02/02/2015
Last updated
03/02/2026
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