Individual
LUKE WILLIAM PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 S KINGSHIGHWAY ST, SIKESTON, MO 63801-5919
(573) 471-0110
Mailing address
309 CIRCLE DR, SIKESTON, MO 63801-1921
(573) 380-9051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2008022311
MO
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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