Individual
DONNA MAY LUCKHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PT
Contact information
Practice address
807 W 5TH ST, REDFIELD, SD 57469-2019
(605) 472-2839
Mailing address
807 W 5TH ST, REDFIELD, SD 57469-2019
(605) 472-2839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
013333
NY
225100000X
Physical Therapist
Primary
0571
SD
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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