Individual
JACOB LOUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-5000
Mailing address
2255 BUCKINGHAM ST APT 3, MANHATTAN, KS 66503-2186
(620) 794-5369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05683
KS
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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