Individual
LUCAS RAY DECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3630 BROWNSBORO RD, LOUISVILLE, KY 40207-1861
(502) 749-6950
(502) 749-6953
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(502) 882-9379
(502) 805-0526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007551
KY
225100000X
Physical Therapist
TP2018113
KY
Other
Enumeration date
09/04/2018
Last updated
10/07/2020
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