Individual
NICHOLAS LUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
822 S AUTO MALL RD, BLOOMINGTON, IN 47401-5430
(812) 668-1781
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014527A
IN
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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