Individual
EMILY ELISE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
(580) 379-5829
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5820
(580) 379-5829
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3584
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201134690A
—
OK
Enumeration date
01/10/2023
Last updated
04/15/2026
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