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Individual

LUKE W KOHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
38505 BROOTEN RD STE C, PACIFIC CITY, OR 97135
(503) 965-6400
(503) 965-9555
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-7217
(423) 602-2028

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4204
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182881
OR
Enumeration date
01/05/2006
Last updated
07/16/2018
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