Individual
MR. LUKE E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2919 E MATTHEWS AVE, SUITE C, JONESBORO, AR 72401-4499
(870) 268-1400
(870) 268-1405
Mailing address
4402 REBEKAH DR, OLIVE BRANCH, MS 38654-9525
(870) 530-7571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W557
BCBS PROVIDER NUMBER
AR
Enumeration date
12/06/2006
Last updated
03/25/2019
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