Individual
MR. LUKE ALAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
110 N ANKENY BLVD STE 100, ANKENY, IA 50023-1756
(515) 964-9100
(515) 964-2700
Mailing address
110 N ANKENY BLVD STE 100, ANKENY, IA 50023-1756
(515) 964-9100
(515) 964-2700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01791
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166547
—
IA
Enumeration date
03/28/2006
Last updated
11/18/2020
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