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Individual

HEATHER D LUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
5215 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229-2183
(502) 290-2421
Mailing address
5215 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229-2183

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
245156
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100568550
KY
Enumeration date
11/06/2018
Last updated
04/27/2026
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